Provider Demographics
NPI:1760912885
Name:BEALE, CATHERINE MCDERMOTT (DO)
Entity Type:Individual
Prefix:DR
First Name:CATHERINE
Middle Name:MCDERMOTT
Last Name:BEALE
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:135 PARK ST
Mailing Address - Street 2:
Mailing Address - City:MILO
Mailing Address - State:ME
Mailing Address - Zip Code:04463-1729
Mailing Address - Country:US
Mailing Address - Phone:207-943-7752
Mailing Address - Fax:207-943-1002
Practice Address - Street 1:135 PARK ST
Practice Address - Street 2:
Practice Address - City:MILO
Practice Address - State:ME
Practice Address - Zip Code:04463-1729
Practice Address - Country:US
Practice Address - Phone:207-943-7752
Practice Address - Fax:207-943-1002
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-13
Last Update Date:2023-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEDO3099207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty