Individual
DR. MARK EDWARD BEAUGARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
520 MAPLE AVE, SUITE 1, WEST CHESTER, PA 19380-4434
(610) 692-0800
(610) 692-8299
Mailing address
520 MAPLE AVE, SUITE 1, WEST CHESTER, PA 19380-4434
(610) 692-0800
(610) 692-8299
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
MD018467E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7209230000
—
PA
Enumeration date
10/25/2006
Last updated
06/29/2010
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