Beaubrun, Esira Jaimie

Beaubrun, Esira Jaimie is an individual health care provider with primary practice located at 323 Belleville Ave Fl 2 , Bloomfield NJ 07003-3648. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Beaubrun, Esira Jaimie can be contacted via phone (973) 842-4272.

Contact Information

Primary practice address
323 Belleville Ave Fl 2 Bloomfield NJ 07003-3648
Phone: (973) 842-4272
Fax: (732) 997-3022
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 25MA09780500 New Jersey
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 25MA09780500 New Jersey

Profile Details

NPI number 1013276062
LBN Legal business name Beaubrun, Esira Jaimie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2012
Last updated Nov 30th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013276062 NPPES
New Jersey MEDICAID 0532584

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