Organization
BEACON SURGICAL ASSOCIATES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER A. ROSEBERRY M.D. (PRESIDENT)
(603) 772-9313
Entity
Organization
Contact information
Practice address
20 HAMPTON RD, EXETER, NH 03833-4823
(603) 772-9313
(603) 772-8687
Mailing address
20 HAMPTON RD, EXETER, NH 03833-4823
(603) 772-9313
(603) 772-8687
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05Y101200NH01
ANTHEM
—
05
—
30212194
—
NH
01
—
67688
CIGNA
—
01
—
7248516
AETNA
NH
01
—
CK5193
RAILROAD MEDICARE
—
Enumeration date
05/10/2006
Last updated
08/22/2020
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