Individual
CECIL WESLEY BEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10 MEMBERS WAY, SUITE 303, DOVER, NH 03820-5933
(603) 516-4268
(603) 609-6147
Mailing address
789 CENTRAL AVE, DOVER, NH 03820-2526
(603) 516-4268
(603) 609-6147
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
14008
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1215981543
—
ME
05
—
3076094
—
NH
01
—
P01052969
RR MEDICARE
NH
Enumeration date
05/20/2006
Last updated
02/19/2014
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