Individual
ANNE-LISE BEAUBOEUF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3180 MAIN ST STE 103, BRIDGEPORT, CT 06606-4237
(203) 374-4288
(203) 374-5811
Mailing address
3180 MAIN ST STE 103, BRIDGEPORT, CT 06606-4237
(203) 374-4288
(203) 374-5811
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
051278
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008043127
—
CT
Enumeration date
07/08/2009
Last updated
11/11/2024
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