Provider Demographics
NPI:1750346623
Name:BIGGEE, BETH A (MD)
Entity type:Individual
Prefix:DR
First Name:BETH
Middle Name:A
Last Name:BIGGEE
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 DURHAM DR
Mailing Address - Street 2:
Mailing Address - City:ANDOVER
Mailing Address - State:MA
Mailing Address - Zip Code:01810-5500
Mailing Address - Country:US
Mailing Address - Phone:978-289-0163
Mailing Address - Fax:
Practice Address - Street 1:11 DURHAM DR
Practice Address - Street 2:
Practice Address - City:ANDOVER
Practice Address - State:MA
Practice Address - Zip Code:01810-5500
Practice Address - Country:US
Practice Address - Phone:978-289-0163
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-20
Last Update Date:2025-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH14580207RR0500X
CAC199529207RR0500X
MA214034207RR0500X
NY235889207RR0500X
PAMD487012207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA001301901OtherMEDICARE PTAN
NH001301902OtherMEDICARE PTAN
NH30209065Medicaid
MA110083792AMedicaid