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Individual

DR. GEORGE J. BEAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
100 HOSPITAL AVE, DU BOIS, PA 15801-1440
(814) 371-2200
(814) 375-3380
Mailing address
PO BOX 447, DU BOIS, PA 15801-0447
(814) 371-2200
(814) 375-4232

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MD-052826-L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000765810
BLUE CROSS
PA
05
0017756860005
PA
Enumeration date
08/01/2006
Last updated
06/13/2011
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