Individual
BEVERLY C PRINCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1001 EAST SECOND STREET, COUDERSORT, PA 16915-8161
(814) 274-9300
Mailing address
1001 EAST SECOND STREET, COUDERSORT, PA 16915-8161
(814) 274-9300
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
AP3043914
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00040440802
UNIVERA
—
01
—
000914181003
BUFFALO BLUES
—
05
—
00869163
—
NY
01
—
040046857
RAILROAD
—
01
—
0699696
GHI
—
01
—
08842108
N AMERICAN PREFERRED
—
01
—
1011404
IND HEALTH
—
01
—
1397470B
WORMANS COMP
—
01
—
MDG998
PREFERRED CARE
—
01
—
P010139747
BCBS ROCHESTER ROCH BLUES
—
Enumeration date
02/24/2006
Last updated
09/11/2012
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