| Doctor Name: | BETH ANNE DEAN |
| NPI Number: | 1003102054 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS, PA-C |
| License Number: | |
| Business Practice Address: | 71 Haynes St Department Of Emergency Medicine Manchester, CT - 060404131 |
| Business Phone Number: | 8606461222 |
| Business Fax Number: | |
| Mailing Address: | 25 Staffordshire Commons Dr, WALLINGFORD |
| State: | CT |
| Postal Code: | 064921743 |
| Phone Number: | 7817246580 |
| Fax Number: | |
| NPI Enumeration Date: | 06/28/2011 |
| NPI Last Update Date: | 04/20/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |