Individual
DR. DAVID BEAUSANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
111 S 11TH ST, SUITE 8490, PHILADELPHIA, PA 19107-4824
(215) 955-5848
Mailing address
111 S 11TH ST, SUITE 8490, PHILADELPHIA, PA 19107-4824
(215) 955-5848
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD448212
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0367877
—
NJ
05
—
102836949
—
PA
Enumeration date
07/16/2010
Last updated
07/21/2022
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