Provider Demographics
NPI:1346231271
Name:AUGUST, BETSY S (MD)
Entity Type:Individual
Prefix:DR
First Name:BETSY
Middle Name:S
Last Name:AUGUST
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 9142
Mailing Address - Street 2:
Mailing Address - City:CHARLESTOWN
Mailing Address - State:MA
Mailing Address - Zip Code:02129-9142
Mailing Address - Country:US
Mailing Address - Phone:617-724-0287
Mailing Address - Fax:617-726-2894
Practice Address - Street 1:55 HIGHLAND AVE
Practice Address - Street 2:SUITE 301
Practice Address - City:SALEM
Practice Address - State:MA
Practice Address - Zip Code:01970-2185
Practice Address - Country:US
Practice Address - Phone:978-741-3700
Practice Address - Fax:978-741-3354
Is Sole Proprietor?:No
Enumeration Date:2005-10-31
Last Update Date:2007-08-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA59447207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
A66619Medicare UPIN