Beresin, Eugene Victor

Beresin, Eugene Victor is an sole proprietor health care provider with primary practice located at 80 School St , Acton MA 01720-3626. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Beresin, Eugene Victor can be contacted via phone (617) 726-8471.

Contact Information

Primary practice address
80 School St Acton MA 01720-3626
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 44217 Massachusetts
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 44217 Massachusetts

Profile Details

NPI number 1396726923
LBN Legal business name Beresin, Eugene Victor
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 10th, 2005
Last updated Apr 8th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396726923 NPPES
Massachusetts Other B33588 BCBS MA
Massachusetts Other 044217 BCBS MA

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