Beacon Surgical Associates, PA

Organization Active NPI Surgery Physician · Exeter, NH

NPI 1093764474 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1093764474
Entity type
Organization (NPI type 2)
Primary specialty
Surgery Physician 208600000X
Legal business name
BEACON SURGICAL ASSOCIATES, PA
Practice address
20 Hampton Rd
Exeter, NH 03833-4823
Phone
(603) 772-9313
Fax
(603) 772-8687
NPI assigned
May 10, 2006
Organization subpart
No

Authorized official

Name
Dr. Christopher A. Roseberry, M.D.
Title
President
Phone
(603) 772-9313

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

20 Hampton Rd
Exeter, NH 03833
Phone (603) 772-9313

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician
Group: 193400000X SINGLE SPECIALTY GROUP
208600000X Yes

Addresses

Primary practice location

20 Hampton Rd
Exeter, NH 03833-4823

Mailing address

20 Hampton Rd
Exeter, NH 03833-4823
Phone (603) 772-9313

Other identifiers

IdentifierTypeStateIssuer
CK5193OtherRAILROAD MEDICARE
30212194MedicaidNH
05Y101200NH01OtherANTHEM
67688OtherCIGNA
7248516OtherNHAETNA

Other providers in Exeter, NH

All providers in Exeter, NH · Surgery Physician in New Hampshire

Sources for this page

Verify at the official NPI Registry.