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Individual

JANET L BEAUSOLEIL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
233 E LANCASTER AVE STE 200, ARDMORE, PA 19003-2395
(215) 590-1000
(215) 561-0959
Mailing address
233 E LANCASTER AVE STE 200, ARDMORE, PA 19003-2395
(610) 642-1643
(610) 642-0245

Taxonomy

Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
MD66113L
PA
208000000X
Pediatrics Physician
MD066113L
PA
2080P0201X
Pediatric Allergy/Immunology Physician
MD066113L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001701726
PA
05
7638108
NJ
Enumeration date
07/20/2006
Last updated
04/06/2021
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