Provider Demographics
NPI:1083872816
Name:BECKFORD, ANGELA NEOLENE (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:ANGELA
Middle Name:NEOLENE
Last Name:BECKFORD
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Gender:F
Credentials:MD, MPH
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Mailing Address - Street 1:720 HARRISON AVE
Mailing Address - Street 2:DOB801A
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02118-2371
Mailing Address - Country:US
Mailing Address - Phone:617-638-7420
Mailing Address - Fax:617-638-8551
Practice Address - Street 1:725 ALBANY ST
Practice Address - Street 2:SHAPIRO 8
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02118-2526
Practice Address - Country:US
Practice Address - Phone:617-638-7420
Practice Address - Fax:617-638-8551
Is Sole Proprietor?:No
Enumeration Date:2008-05-29
Last Update Date:2014-06-27
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Provider Licenses
StateLicense IDTaxonomies
MA234997207N00000X
NJ25MA09504000207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology