Beauchamp Bruno, Mayra

Beauchamp Bruno, Mayra is an individual health care provider with primary practice located at 100 Hitchcock Way , Manchester NH 03104-4125. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Beauchamp Bruno, Mayra can be contacted via phone (603) 695-2500.

Contact Information

Primary practice address
100 Hitchcock Way Manchester NH 03104-4125
Phone: (603) 695-2500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 17621 Puerto Rico
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 16259 New Hampshire

Profile Details

NPI number 1003015173
LBN Legal business name Beauchamp Bruno, Mayra
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2007
Last updated Jul 26th, 2023 - about 3 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 1003015173 NPPES
New Hampshire MEDICAID 3091082

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