Individual
DR. PHILIPPE RICHARD BEAUDRY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
130 CENTERWAY, CORNING, NY 14830
(607) 936-9971
(607) 937-6057
Mailing address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858
(570) 882-3007
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
217987-1
NY
207RC0000X
Cardiovascular Disease Physician
MD071342L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018025400001
—
PA
05
—
02082924
—
NY
Enumeration date
02/08/2006
Last updated
07/08/2007
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