Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 20329 | NH |
N | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 20329 | NH |
NPI | 1164832770 |
---|---|
Provider Name | Bryan Bean |
First Address | Nashua, NH 03062-1383 |
Second Address | Nashua, NH 03062-1383 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/05/2014 |
Last Update Date | 15/11/2021 |