Individual
DAVID W BEAUFAIT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
411 U.S. ROUTE 4, ENFIELD, NH 03748
(603) 632-5600
(603) 632-5477
Mailing address
252 MECHANIC ST, LEBANON, NH 03766-2613
(603) 632-5600
(603) 632-5477
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
6754
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0105271YPNH01
BLUE SHIELD
NH
01
—
743054927
VERMONT BLUE SHIELD
VT
05
—
81080107
—
NH
Enumeration date
03/22/2007
Last updated
10/29/2019
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