Individual
WARD G BECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
67 IVY LEAGUE DR, KUTZTOWN, PA 19530-9206
(610) 683-5762
(610) 683-5219
Mailing address
1901 W HAMILTON ST, SUITE 100B, ALLENTOWN, PA 18104-6459
(610) 973-1410
(610) 973-1449
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
MD016864E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006393940003
—
PA
01
—
02539500
CAPITAL BLUE CROSS
PA
01
—
103500
HIGHMARK BLUE SHIELD
PA
01
—
380001467
PALMETTO GBA
—
Enumeration date
05/10/2006
Last updated
07/02/2008
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