| Doctor Name: | JOHN BEAN |
| NPI Number: | 1003824558 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | P.A. |
| License Number: | 000194 |
| Business Practice Address: | 2150 Corbin Ave New Britain, CT - 060532266 |
| Business Phone Number: | 8608326248 |
| Business Fax Number: | |
| Mailing Address: | 2150 Corbin Ave, NEW BRITAIN |
| State: | CT |
| Postal Code: | 060532266 |
| Phone Number: | 8608326248 |
| Fax Number: | |
| NPI Enumeration Date: | 08/03/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 000194 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CT |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |