MEDICARE: DR. DENNIS G BEGOS M.D.

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
1	208600000X	Surgery Physician	150856	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	J17621	OTHER	MA	BCBS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1760450068
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DENNIS G BEGOS M.D.

Provider Business Mailing Address
First Line	:	91 MONTVALE AVE
Second Line	:	SUITE 208
City	:	STONEHAM
State	:	MA
Zip	:	02180-3623
Country	:	US
Telephone Number	:	781-279-1123
Fax Number	:	781-438-3034

Provider Business Practice Location Address
First Line	:	91 MONTVALE AVE
Second Line	:	STE 208A
City	:	STONEHAM
State	:	MA
Zip	:	02180-3649
Country	:	US
Telephone Number	:	781-279-1123
Fax Number	:	781-438-3034

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/10/2006
Last Update Date	:	01/25/2018

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