Individual
DR. DENNIS R. BEATTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 TIMBER LN, SOUTH BURLINGTON, VT 05403-7205
(802) 847-4714
(802) 847-6333
Mailing address
59 DOREY RD, SOUTH BURLINGTON, VT 05403-8108
(802) 862-9627
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
042-0010372
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1008663
—
VT
05
—
EO2271896
—
NY
Enumeration date
07/14/2006
Last updated
07/08/2007
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