Individual
DR. STACEY BECKFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
401 N 17TH ST STE 203, ALLENTOWN, PA 18104-5050
(610) 969-3230
Mailing address
2100 MACK BLVD, ALLENTOWN, PA 18103-5622
(484) 884-0617
(484) 884-0628
Taxonomy
Speciality
Code
Description
License number
State
2080P0205X
Pediatric Endocrinology Physician
Primary
MD471180
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD471180
STATE LICENSE
PA
Enumeration date
04/03/2017
Last updated
02/03/2023
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