Provider Demographics
NPI:1518463009
Name:BEAMER, MATTHEW RYAN (MD)
Entity Type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:RYAN
Last Name:BEAMER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1290 SILAS DEANE HWY
Mailing Address - Street 2:
Mailing Address - City:WETHERSFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06109-4337
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2660 MAIN ST STE 117
Practice Address - Street 2:
Practice Address - City:BRIDGEPORT
Practice Address - State:CT
Practice Address - Zip Code:06606-5301
Practice Address - Country:US
Practice Address - Phone:203-338-8760
Practice Address - Fax:203-338-8765
Is Sole Proprietor?:No
Enumeration Date:2018-04-03
Last Update Date:2024-02-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CT73685208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology