Individual
JOSEPH DE BEAUVOIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
690 MAIN ST S STE 1, SOUTHBURY, CT 06488-2387
(203) 264-6503
Mailing address
17 MINUTEMAN CIR, SOUTHBURY, CT 06488-3005
(213) 308-6516
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
62572
CT
208M00000X
Hospitalist Physician
62572
CT
Other
Enumeration date
03/28/2016
Last updated
09/15/2019
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