Doctor Name: | DOROTHY M BEKE |
NPI Number: | 1154682789 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN, MS, CPNP-PC/AC |
License Number: | RN172297 |
Business Practice Address: | 120 Massachusetts Ave Dedham, MA - 020267006 |
Business Phone Number: | 7813812556 |
Business Fax Number: | |
Mailing Address: | 120 Massachusetts Ave, DEDHAM |
State: | MA |
Postal Code: | 020267006 |
Phone Number: | 7813812556 |
Fax Number: | |
NPI Enumeration Date: | 05/30/2012 |
NPI Last Update Date: | 05/30/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0200X |
License Number: | RN172297 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |