Individual
GLENN J BEAUMAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
P.A.-C.
Contact information
Practice address
600 N WOLFE ST, BALTIMORE, MD 21287-0005
(410) 955-6500
Mailing address
PO BOX 64358, BALTIMORE, MD 21264-4358
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C02310
MD
Other
Enumeration date
04/20/2006
Last updated
07/08/2007
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