Individual
DR. JENNIFER K BEALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
100 BRICKHILL AVENUE, SOUTH PORTLAND, ME 04106
(207) 407-5027
(207) 536-2442
Mailing address
80 OLD FIELD ROAD, YARMOUTH, ME 04096
(207) 407-5027
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036-102371
IL
207R00000X
Internal Medicine Physician
Primary
MD19626
ME
Other
Enumeration date
09/12/2006
Last updated
08/03/2023
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