Provider Demographics
NPI:1255590154
Name:VANBEEK, CORINNE (MD)
Entity type:Individual
Prefix:
First Name:CORINNE
Middle Name:
Last Name:VANBEEK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 BLACHLEY RD
Mailing Address - Street 2:
Mailing Address - City:STAMFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06902-0001
Mailing Address - Country:US
Mailing Address - Phone:203-276-2277
Mailing Address - Fax:203-276-2278
Practice Address - Street 1:1 BLACHLEY RD
Practice Address - Street 2:
Practice Address - City:STAMFORD
Practice Address - State:CT
Practice Address - Zip Code:06902-0001
Practice Address - Country:US
Practice Address - Phone:203-276-2277
Practice Address - Fax:203-276-2278
Is Sole Proprietor?:No
Enumeration Date:2008-06-05
Last Update Date:2017-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT051935207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery