Individual
DR. JEFFREY J BEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
335 BRIGHTON AVE STE 200, PORTLAND, ME 04102-2362
(207) 662-8600
Mailing address
114 MACKWORTH ST, PORTLAND, ME 04103-4534
(207) 415-1910
Taxonomy
Speciality
Code
Description
License number
State
207RS0010X
Sports Medicine (Internal Medicine) Physician
Primary
2037
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00236042
MEDICARE RAILROAD
OH
01
—
200882
ANTHEM
ME
05
—
432826999
—
ME
01
—
4991097
CIGNA
ME
01
—
7209651
AETNA
ME
01
—
AA109573
HARVARD PILGRIM
ME
Enumeration date
05/23/2006
Last updated
01/11/2021
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