Anne Lise Beauboeuf (NPI# 1407085699, PAC ID# 6800033994) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1407085699 |
| PAC ID by PECOS | 6800033994 |
| Professional Enrollment ID | I20130509000094 |
| Full Name | Anne Lise Beauboeuf |
| Organization Legal Name | SOUTH-WEST COMMUNITY HEALTH CENTER, INC. |
| Address |
46 Albion St Bridgeport CT 06605-2602 |
| Phone Number | 2033323505 |
| Gender | F |
| Graduation Year | 2005 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 2466445200 |
| Number of Group Practice Members | 39 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 070010 | BRIDGEPORT HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 46 Albion St, Bridgeport, CT 06605-2602 | 2033323505 | SOUTH-WEST COMMUNITY HEALTH CENTER, INC. |
| 1931 Black Rock Tpke, Fairfield, CT 06825-3506 | 2033848681 | REHABILITATION ASSOCIATES INC |
| Organization Legal Name | SOUTH-WEST COMMUNITY HEALTH CENTER, INC. |
| Physicians | 35 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Samantha Mraz | Nurse Practitioner | South-west Community Health Center, Inc. | 743 S Ave, Bridgeport, CT 06604-5810 |
| Djana Harp | Obstetrics/gynecology | South-west Community Health Center, Inc. | 510 Clinton Ave, Bridgeport, CT 06605-1701 |
| Julianne Y Icatar | Obstetrics/gynecology | South-west Community Health Center, Inc. | 762 Lindley St, Bridgeport, CT 06606-5046 |
| Nicole A Altbaum-nash | Clinical Social Worker | South-west Community Health Center, Inc. | 1046 Fairfield Ave, Bridgeport, CT 06605-1116 |
| Pierre H Estime | Family Medicine | South-west Community Health Center, Inc. | 46 Albion St, Bridgeport, CT 06605-2602 |
| Lachanna R Evans | Nurse Practitioner | South-west Community Health Center, Inc. | 1046 Fairfield Ave, Bridgeport, CT 06605-1116 |
| Latoya Smith | Nurse Practitioner | South-west Community Health Center, Inc. | 46 Albion St, Bridgeport, CT 06605-2602 |
| Charles P Alexander | Psychiatry | South-west Community Health Center, Inc. | 1046 Fairfield Ave, Bridgeport, CT 06605-1116 |
| Mary Lucia | Obstetrics/gynecology | South-west Community Health Center, Inc. | 1046 Fairfield Ave, Bridgeport, CT 06605-1116 |
| Frances U Ogudebe | Nurse Practitioner | South-west Community Health Center, Inc. | 743 S Ave, Bridgeport, CT 06604-5810 |
| Street Address |
46 ALBION ST |
| City | BRIDGEPORT |
| State | CT |
| Zip | 06605-2602 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Pierre H Estime | Family Medicine | South-west Community Health Center, Inc. | 46 Albion St, Bridgeport, CT 06605-2602 |
| Latoya Smith | Nurse Practitioner | South-west Community Health Center, Inc. | 46 Albion St, Bridgeport, CT 06605-2602 |
| Kusuma A Hampapur | Internal Medicine | South-west Community Health Center, Inc. | 46 Albion St, Bridgeport, CT 06605-2602 |
| Carole M Presnick | Obstetrics/gynecology | South-west Community Health Center, Inc. | 46 Albion St, Bridgeport, CT 06605-2602 |
| Janet C Spinner | Certified Nurse Midwife (cnm) | South-west Community Health Center, Inc. | 46 Albion St, Bridgeport, CT 06605-2602 |
| Gary Spinner | Physician Assistant | South-west Community Health Center, Inc. | 46 Albion St, Bridgeport, CT 06605-2602 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nicole A Altbaum-nash | Clinical Social Worker | South-west Community Health Center, Inc. | 1046 Fairfield Ave, Bridgeport, CT 06605-1116 |
| Lachanna R Evans | Nurse Practitioner | South-west Community Health Center, Inc. | 1046 Fairfield Ave, Bridgeport, CT 06605-1116 |
| Charles P Alexander | Psychiatry | South-west Community Health Center, Inc. | 1046 Fairfield Ave, Bridgeport, CT 06605-1116 |
| Mary Lucia | Obstetrics/gynecology | South-west Community Health Center, Inc. | 1046 Fairfield Ave, Bridgeport, CT 06605-1116 |
| Arashinder Singh Dhaliwal | Psychiatry | South-west Community Health Center, Inc. | 1046 Fairfield Ave, Bridgeport, CT 06605-1116 |
| Gerard Abidor | Internal Medicine | South-west Community Health Center, Inc. | 1046 Fairfield Ave, Bridgeport, CT 06605-1116 |
| Kathleen S Africano | Nurse Practitioner | South-west Community Health Center, Inc. | 1046 Fairfield Ave, Bridgeport, CT 06605-1116 |
| Karen Madeleine Smith | Clinical Social Worker | South-west Community Health Center, Inc. | 1046 Fairfield Ave, Bridgeport, CT 06605-1116 |
| Rachel Leigh | Registered Dietitian Or Nutrition Professional | South-west Community Health Center, Inc. | 1046 Fairfield Ave, Bridgeport, CT 06605-1116 |
| Susan M Denisco | Nurse Practitioner | South-west Community Health Center, Inc. | 1046 Fairfield Ave, Bridgeport, CT 06605-1116 |
| Find all physicians in zip 06605 | |||
| City | BRIDGEPORT |
| Zip Code | 06605 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | BRIDGEPORT + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Anne Lise Beauboeuf.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.