Individual
DR. DANA CRITCHELL BEAUSANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3200 KEARNEY ST, FREMONT, CA 94538-2299
(510) 490-1222
Mailing address
325 DISTEL CIR, LOS ALTOS, CA 94022-1408
(510) 498-2055
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A116528
CA
207R00000X
Internal Medicine Physician
MD433677
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1022479030001
—
PA
Enumeration date
05/21/2007
Last updated
05/28/2020
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