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Contact Information

MAYRA BEAUCHAMP BRUNO, MD
253 PLEASANT ST
CONCORD, NH03301-7560
 Phone: 603-226-2200
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for MAYRA BEAUCHAMP BRUNO · (Female)

NPI # 1003015173
Status Active
Credentials MD
Entity Individual
Enumeration date 07/17/2007
Last updated 03/09/2015 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • NH License # 16259
  • PR License # 17621
  • NH Medicaid 3091082
Hospital affiliation(s)
  • FORSYTH MEMORIAL HOSPITAL - (Acute Care)
    3333 SILAS CREEK PARKWAY
    WINSTON-SALEM, NC 27103
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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