CHARLES E BEALE

LIFESPAN PHYSICIAN GROUP, INC.

Dr CHARLES E BEALE is a male medical professional, specializing in Cardiovascular Disease (cardiology). He graduated in 2011.

Contact

LIFESPAN PHYSICIAN GROUP, INC.

593 EDDY ST
PROVIDENCE
RI
029034923

Tel: 4014444000

CHARLES E BEALE Information

Npi 1407146962
Pac Id 1658598065
Professional Enrollment Id I20180702001629
Last Name BEALE
First Name CHARLES
Middle Name E
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 2011
Primary Specialty CARDIOVASCULAR DISEASE (CARDIOLOGY)
Secondary Specialty 1 INTERVENTIONAL CARDIOLOGY
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties INTERVENTIONAL CARDIOLOGY
Organization Legal Name LIFESPAN PHYSICIAN GROUP, INC.
Group Practice Pac Id 2567455082
Number Of Group Practice Members 615
Line 1 Street Address 593 EDDY ST
Line 2 Street Address
Marker Of Address Line 2 Suppression
City PROVIDENCE
State RI
Zip Code 029034923
Phone Number 4014444000
Hospital Affiliation Ccn 1 410007
Hospital Affiliation Lbn 1 RHODE ISLAND HOSPITAL
Hospital Affiliation Ccn 2 410012
Hospital Affiliation Lbn 2 THE MIRIAM HOSPITAL
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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