Charles Ives Beaudette, M.D.

NPI #1164657953 in Va Beach, Virginia

Provider Information

NPI Number: 1164657953
Entity Type: Individual
Name: Charles Ives Beaudette, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Credential: M.D.
Enumeration Date: May 21, 2009
Last Updated: Nov 17, 2015

Practice Location

Address: 4092 FOXWOOD DR
Address 2: STE 101
City: Va Beach
State: Virginia
ZIP Code: 23462-5225
Phone: (757) 686-3508

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary
Emergency Medicine	207P00000X

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