Individual
DR. CHARLES EDWARD BEALE
Active
Individual
DR. CHARLES EDWARD BEALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M. D.
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
MC16299
RI
207RI0011X
Interventional Cardiology Physician
Primary
281128
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD16299
LICENSE
RI
Enumeration date
04/18/2011
Last updated
04/24/2023
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