Individual
NICHOLAS ALEXANDER BEAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3400 CIVIC CENTER BOULEVARD, PHILADELPHIA, PA 19104-5127
(215) 615-0063
(215) 349-8144
Mailing address
3400 CIVIC CENTER BLVD, 4TH FLOOR, WEST PAVILION, PHILADELPHIA, PA 19104-5157
(215) 615-5858
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
SP019184
PA
2084N0400X
Neurology Physician
Primary
SP019184
PA
363LF0000X
Family Nurse Practitioner
SP019184
PA
Other
Enumeration date
12/04/2018
Last updated
03/17/2026
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