Individual
DR. LESLIE P. BEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1095 W MAIN ST, NEW BRITAIN, CT 06053-3454
(860) 223-7078
Mailing address
40 OAKRIDGE, UNIONVILLE, CT 06085-1472
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
24289
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1242890
—
CT
Enumeration date
06/28/2006
Last updated
10/17/2011
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