Provider Demographics
NPI:1689628570
Name:FREIRE, BETH A (MD)
Entity Type:Individual
Prefix:
First Name:BETH
Middle Name:A
Last Name:FREIRE
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Gender:F
Credentials:MD
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Mailing Address - Street 1:800 TURNPIKE STREET
Mailing Address - Street 2:JEFFERSON OFFICE PARK
Mailing Address - City:NORTH ANDOVER
Mailing Address - State:MA
Mailing Address - Zip Code:01845-6124
Mailing Address - Country:US
Mailing Address - Phone:978-557-5712
Mailing Address - Fax:978-557-5406
Practice Address - Street 1:820A TURNPIKE ST
Practice Address - Street 2:JEFFERSON OFFICE PARK
Practice Address - City:NORTH ANDOVER
Practice Address - State:MA
Practice Address - Zip Code:01845-6124
Practice Address - Country:US
Practice Address - Phone:978-557-5712
Practice Address - Fax:978-557-5406
Is Sole Proprietor?:No
Enumeration Date:2006-05-22
Last Update Date:2013-03-21
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Provider Licenses
StateLicense IDTaxonomies
MA151359208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA5307494001OtherCIGNA
MA151359OtherTUFTS HEALTH PLAN
MA3157644Medicaid
MA201395OtherHARVARD COMMUNITY HEALTH
MAJ17168OtherBLUE CROSS BLUE SHIELD
MA3157644Medicaid