Individual
DR. LOU-ANNE BEAUREGARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
901 W MAIN ST STE 205, CN5050, FREEHOLD, NJ 07728-2537
(732) 866-0800
(732) 866-0018
Mailing address
901 W MAIN ST STE 205, CN5050, FREEHOLD, NJ 07728-2537
(732) 866-0800
(732) 866-0018
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MA46668
NJ
207RC0001X
Clinical Cardiac Electrophysiology Physician
46668
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0519147
AETNA HMO
NJ
01
—
060046368
RR MEDICARE
—
01
—
4114442
AETNA PPO
NJ
01
—
5714791
GHI PPO
NJ
01
—
60006205
HORIZON NJ HEALTH
NJ
05
—
662704
—
NJ
01
—
83286
AMERICAID / AMERIGROUP
NJ
01
—
F07151
HEALTHNET
—
01
—
P376633
OXFORD
—
Enumeration date
06/13/2005
Last updated
01/21/2014
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