Individual
DR. MAYRA BEAUCHAMP BRUNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
100 HITCHCOCK WAY, MANCHESTER, NH 03104-4125
(603) 695-2500
Mailing address
PO BOX 810, HANOVER, NH 03755-0810
(603) 308-1472
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
16259
NH
207N00000X
Dermatology Physician
17621
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3091082
—
NH
Enumeration date
07/17/2007
Last updated
07/26/2023
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