Individual
BRIAN CHARLES BEAUDOIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1001 S GEORGE ST, YORK HOSPITAL, YORK, PA 17403-3676
(717) 851-4005
(717) 812-2495
Mailing address
601 MEMORY LN, YORK, PA 17402-2231
(717) 851-1405
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD458922
PA
207R00000X
Internal Medicine Physician
MT203971
PA
208M00000X
Hospitalist Physician
Primary
MD458922
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103152484
—
PA
01
—
PO1761217
RAILROAD MEDICARE
PA
Enumeration date
05/22/2013
Last updated
10/10/2024
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