Individual
DR. JONATHAN CHARLES BEACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
16 HOSPITAL RD, PLYMOUTH, NH 03264-1126
(603) 228-2239
Mailing address
505 DEVIL'S DEN RD, P.O. BOX 273, ALTONA, NY 12910
(518) 236-5611
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
19288
NH
207P00000X
Emergency Medicine Physician
228601
NY
207Q00000X
Family Medicine Physician
228601
NY
Other
Enumeration date
07/05/2006
Last updated
05/08/2024
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