Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | 30734 | MA |
NPI | 1003811357 |
---|---|
Provider Name | Dr. Joseph S Betts |
First Address | New Bedford, MA 02740-2208 |
Second Address | New Bedford, MA 02740-2208 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/06/2005 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2022567 | (05) | MA |
A59674 | (02) | MA |