Provider Demographics
NPI:1114184306
Name:VALASHINAS, BETH ANN (DO)
Entity Type:Individual
Prefix:
First Name:BETH
Middle Name:ANN
Last Name:VALASHINAS
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1622 BOSTON POST RD
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06460-2776
Mailing Address - Country:US
Mailing Address - Phone:203-713-5500
Mailing Address - Fax:
Practice Address - Street 1:1622 BOSTON POST RD
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:CT
Practice Address - Zip Code:06460-2776
Practice Address - Country:US
Practice Address - Phone:203-713-5500
Practice Address - Fax:203-868-0058
Is Sole Proprietor?:No
Enumeration Date:2008-05-16
Last Update Date:2024-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT76583207RR0500X
TXL7908207R00000X, 207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXP00680239OtherRAILROAD MEDICARE
TX8X9567OtherBCBS
TX193200601Medicaid
TX193200601Medicaid