Individual
CHARLES B BECKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
46 PRINCE ST, NEW HAVEN, CT 06519-1600
(203) 867-5300
(203) 315-5320
Mailing address
20 OLD MILLER LN, GUILFORD, CT 06437-1084
(203) 457-1554
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
017701
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001177013
—
CT
Enumeration date
11/15/2005
Last updated
06/30/2022
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