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NPI Code Detail

MEDICARE: BEAUX MEDICINE PLLC

MEDICARE: BEAUX MEDICINE PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialist

General Provider Information

NPI Number : 1497688626
Entity Type Code : Organization
Provider Name (Legal Business Name) : BEAUX MEDICINE PLLC
Provider Business Mailing Address
First Line : 23 LESWING AVE
Second Line :
City : SADDLE BROOK
State : NJ
Zip : 07663-5202
Country : US
Telephone Number : 202-630-6916
Fax Number : 301-625-3234
Provider Business Practice Location Address
First Line : 240 W 37TH ST FL 5
Second Line :
City : NEW YORK
State : NY
Zip : 10018-5787
Country : US
Telephone Number : 202-630-6916
Fax Number : 301-625-3234
Authorized Official
Title or Position : OWNER
Name : PATRICIA BEAUZILE
Credential : MD
Telephone Number : 240-988-0107
Provider Enumeration Date : 06/06/2026
Last Update Date : 06/06/2026

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