Individual
BRIDGET R BEEBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPA-C
Contact information
Practice address
28538 DUPONT BLVD, MILLSBORO, DE 19966-4791
(302) 934-5052
Mailing address
28538 DUPONT BLVD, MILLSBORO, DE 19966-4791
(302) 934-5052
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
005804
NY
363AM0700X
Medical Physician Assistant
Primary
005804
NY
363AS0400X
Surgical Physician Assistant
005804
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02003661
—
NY
Enumeration date
08/24/2005
Last updated
02/08/2022
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