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NPI Code Detail

MEDICARE: EMILY BEATTIE PA-C

MEDICARE: EMILY BEATTIE PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician AssistantMA

General Provider Information

NPI Number : 1043886740
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILY BEATTIE PA-C
Provider Business Mailing Address
First Line : 41 RESNIK RD
Second Line :
City : PLYMOUTH
State : MA
Zip : 02360-5721
Country : US
Telephone Number : 781-934-2400
Fax Number : 508-746-3930
Provider Business Practice Location Address
First Line : 41 RESNIK RD
Second Line :
City : PLYMOUTH
State : MA
Zip : 02360-5721
Country : US
Telephone Number : 781-934-2400
Fax Number : 508-746-3930
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2021
Last Update Date : 09/11/2025

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Directions to “ EMILY BEATTIE PA-C” Practice Location

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