Individual
CHRISTOPHER BEAUVAIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2800 MAIN ST, BRIDGEPORT, CT 06606-4201
(203) 576-6000
Mailing address
86 CEDAR GROVE RD, SOUTHBURY, CT 06488-1930
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
05/25/2018
Last updated
05/25/2018
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