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Individual

DR. CHARLES BARRY BEAUMONT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
36 ARCH BRIDGE RD, BETHLEHEM, CT 06751-1611
(860) 483-0975
(203) 266-5522
Mailing address
36 ARCH BRIDGE RD, BETHLEHEM, CT 06751-1611
(860) 483-0975
(203) 266-5522

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
018033
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
018033
CT STATE
CT
Enumeration date
05/29/2013
Last updated
05/29/2013
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