Provider Demographics
NPI:1285921395
Name:BEALS, CHAN RODNEY (MD)
Entity type:Individual
Prefix:DR
First Name:CHAN
Middle Name:RODNEY
Last Name:BEALS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:514 KIMBALL AVE
Mailing Address - Street 2:
Mailing Address - City:WESTFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07090-2445
Mailing Address - Country:US
Mailing Address - Phone:908-839-3395
Mailing Address - Fax:732-594-5512
Practice Address - Street 1:514 KIMBALL AVE
Practice Address - Street 2:
Practice Address - City:WESTFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07090-2445
Practice Address - Country:US
Practice Address - Phone:908-839-3395
Practice Address - Fax:732-594-5512
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-10
Last Update Date:2011-07-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CT0409902080P0216X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0216XAllopathic & Osteopathic PhysiciansPediatricsPediatric Rheumatology