Provider Demographics
NPI:1396949582
Name:BEECHER, HENRY GRAFTON (MD)
Entity type:Individual
Prefix:DR
First Name:HENRY
Middle Name:GRAFTON
Last Name:BEECHER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3725 BLACKSTONE AVE
Mailing Address - Street 2:APARTMENT 4C
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10463-1443
Mailing Address - Country:US
Mailing Address - Phone:718-432-6424
Mailing Address - Fax:718-432-6424
Practice Address - Street 1:32 STRAWBERRY HILL CT
Practice Address - Street 2:SUITE 41042
Practice Address - City:STAMFORD
Practice Address - State:CT
Practice Address - Zip Code:06902-2594
Practice Address - Country:US
Practice Address - Phone:203-348-5355
Practice Address - Fax:203-348-4082
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT045166207RG0100X
NY225212207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology