Provider Demographics
NPI:1154387397
Name:BEECHINOR, ROBERT JAMES (MD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:JAMES
Last Name:BEECHINOR
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:16 BALMORAL ST
Mailing Address - Street 2:UNIT 114
Mailing Address - City:ANDOVER
Mailing Address - State:MA
Mailing Address - Zip Code:01810-3063
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:295 VARNUM AVE
Practice Address - Street 2:ANESTHETICS OF LOWELL, PC
Practice Address - City:LOWELL
Practice Address - State:MA
Practice Address - Zip Code:01854-2134
Practice Address - Country:US
Practice Address - Phone:978-454-0941
Practice Address - Fax:978-458-0743
Is Sole Proprietor?:No
Enumeration Date:2006-04-25
Last Update Date:2008-04-15
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Provider Licenses
StateLicense IDTaxonomies
MA53794207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA6190391Medicaid
MA6190391Medicaid
MAJ04207Medicare ID - Type UnspecifiedMASSACHUSETTS MEDICARE