Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 273777 | MA |
NPI | 1013349315 |
---|---|
Provider Name | Aaron Beck |
First Address | Plymouth, MA 02360-4842 |
Second Address | Plymouth, MA 02360-4842 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/08/2013 |
Last Update Date | 29/05/2020 |