| Doctor Name: | MR. MARIO BEAUGE |
| NPI Number: | 1013136761 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | RN |
| License Number: | 489432-1 |
| Business Practice Address: | 420 North Ave New Rochelle, NY - 108014160 |
| Business Phone Number: | 8006621704 |
| Business Fax Number: | 8886510971 |
| Mailing Address: | 420 North Ave, NEW ROCHELLE |
| State: | NY |
| Postal Code: | 108014160 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 04/24/2007 |
| NPI Last Update Date: | 11/23/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WG0000X |
| License Number: | 489432-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | General Practice |
| Taxonomy Definition: | |