Dr ANDREW WILSON BEACH is a male medical professional, specializing in Physician Assistant. He graduated in 2009.
LIFESPAN PHYSICIAN GROUP, INC.
593 EDDY ST APC
SUITE 6
PROVIDENCE
RI
029034923
Tel: 4017939172
| Npi | 1720217789 |
| Pac Id | 0244379642 |
| Professional Enrollment Id | I20171222000960 |
| Last Name | BEACH |
| First Name | ANDREW |
| Middle Name | WILSON |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2009 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | LIFESPAN PHYSICIAN GROUP, INC. |
| Group Practice Pac Id | 2567455082 |
| Number Of Group Practice Members | 615 |
| Line 1 Street Address | 593 EDDY ST APC |
| Line 2 Street Address | SUITE 6 |
| Marker Of Address Line 2 Suppression | |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 029034923 |
| Phone Number | 4017939172 |
| Hospital Affiliation Ccn 1 | 410012 |
| Hospital Affiliation Lbn 1 | THE MIRIAM HOSPITAL |
| Hospital Affiliation Ccn 2 | 410007 |
| Hospital Affiliation Lbn 2 | RHODE ISLAND HOSPITAL |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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