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Individual

CHRISTIAN H.G. BEAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
130 FISHER RD, BUILDING A, SUITE 2-2, BERLIN, VT 05602-9516
(802) 229-2663
(802) 229-6645
Mailing address
130 FISHER RD, BUILDING A, SUITE 2-2, BERLIN, VT 05602-9516
(802) 229-2663
(802) 229-6645

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
0420009121
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0VN1185
VT
05
30207742
NH
01
P00016937
RAIL ROAD MEDICARE
VT
Enumeration date
04/24/2006
Last updated
10/21/2011
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