IndividualActive
Stephen Beaudoin, CO
NPI 1548401128 · Prosthetic/Orthotic Supplier · Derry, NH
Provider details
- NPI number
- 1548401128
- Entity type
- Individual
- Primary specialty
- Prosthetic/Orthotic SupplierSuppliers
- Credential
- CO
- Sex
- Male
- Sole proprietor
- Yes
- License
- CO2978
Specialties & taxonomies
Suppliers
Suppliers
Practice location
5l Richardson Dr
Derry, NH 03038-4920
Phone: (603) 216-1294
Approximate (ZIP-level) locationGet directions
Mailing address
5l Richardson Dr
Derry, NH 03038-4920
Registry dates
- Enumerated
- 2009-03-11
- Last updated
- 2009-03-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.