Individual
ROY D BEEBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2 SIMSBURY RD, AVON, CT 06001
(860) 679-6600
(860) 679-6604
Mailing address
263 FARMINGTON AVE, PROVIDER ENROLLMENT, FARMINGTON, CT 06030-2212
(860) 679-7503
(860) 679-1610
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
18635
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001186352
—
CT
01
—
010018635CT03
BCBS
CT
01
—
1588621221
MEDICAID - UCONN
CT
01
—
602316
CONNECTICARE
CT
01
—
D400063551
MEDICARE - UCONN
CT
Enumeration date
04/27/2006
Last updated
08/03/2012
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