BEACON PRIMARY MEDICINE
Ambulatory Health at Beacon St, Brookline, MA

License number
Massachusetts 78250
Category
Ambulatory Health
Type
Health Service
Owner
Name: DR. ROBIN STANTON MAYFIELD M.D.
Title: PRESIDENT
Phone: (617) 794-1463
Address
Address
1755 Beacon St, Brookline, MA 02445
National Provider ID: 1336458439
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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BEACON PRIMARY MEDICINE, INC

Brookline, MA

Status:
Inactive
Industry:
Health/Allied Services
Doing business as:
Beacon Primary Medicine
Registration:
Jun 7, 2010
Inactive since:
Jun 30, 2014
Phone:
(617) 487-5243 (Phone)
Addresses:
39 Kent St #8, Brookline, MA 02445 (Physical)
32 Kent St, Brookline, MA 02445
State ID:
001029860
Business type:
Professional Corporation
Medical Doctor, Presidents:
Robin Stanton Mayfield Md (President), 39 Kent St #8, Brookline, MA 02445 (Physical),Robin Mayfield (Medical Doctor, President)
Agent:
Md Robin Stanton Maryfield,39 Kent St #8, Brookline, MA 02445 (Physical)
Categories:
Physicians & Surgeons

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