Healthcare Provider Details

I. General information

NPI: 1780652065
Provider Name (Legal Business Name): KAREN ANN BEATON MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KAREN ANN CENCI MD

II. Dates (important events)

Enumeration Date: 03/10/2006
Last Update Date: 08/05/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

41 HIGHLAND AVE WINCHESTER HOSPITAL
WINCHESTER MA
01890
US

IV. Provider business mailing address

41 HIGHLAND AVE WINCHESTER HOSPITAL DEPT. OF ANESTHESIA
WINCHESTER MA
01890-1446
US

V. Phone/Fax

Practice location:
  • Phone: 781-756-7243
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number81118
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: