Individual
DR. CHARLES EDWARD BEALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
535 FAUNCE CORNER RD, DARTMOUTH, MA 02747-1242
(508) 996-3991
Mailing address
106 BLACKSTONE BLVD APT 4, PROVIDENCE, RI 02906-5452
(914) 497-9931
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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