Individual
BRIAN BEALS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2 BROADWAY AVE, GORHAM, NH 03581-1502
(603) 466-2741
(603) 466-2953
Mailing address
133 PLEASANT ST, BERLIN, NH 03570-2006
(603) 752-2040
(603) 752-1709
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
9177
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0109720YPNH02
ANTHEM BC/BS
NH
05
—
30007014
—
NH
05
—
3072544
—
NH
01
—
5756404001
CIGNA HEALTHCARE
NH
01
—
5830418
AETNA GROUP
—
01
—
784908
MVP HEALTHCARE
NH
01
—
9177
STATE LICENSE #
NH
01
—
RE7915
MEDICARE NUMBER
—
Enumeration date
08/11/2005
Last updated
09/15/2017
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