Individual
ROY D BEEBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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
Update your record
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