Individual
THOMAS E BEAUREGARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
82 CATAMOUNT PARK, MIDDLEBURY, VT 05753-1292
(802) 388-7185
(802) 388-3445
Mailing address
3300 ROUTE 144, FAIR HAVEN, VT 05743-9648
(802) 537-3363
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0550030726
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007984
—
VT
Enumeration date
11/20/2006
Last updated
04/30/2013
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