Healthcare Provider Details

I. General information

NPI: 1528163342
Provider Name (Legal Business Name): ROBERT ALLEN BEEKMAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/14/2006
Last Update Date: 01/12/2021
Certification Date: 01/12/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

57 WATER ST
BLUE HILL ME
04614-5231
US

IV. Provider business mailing address

57 WATER ST
BLUE HILL ME
04614-5231
US

V. Phone/Fax

Practice location:
  • Phone: 207-374-2311
  • Fax: 207-374-3991
Mailing address:
  • Phone: 207-374-2311
  • Fax: 207-374-3991

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMD8491
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: