Individual
KATHLEEN S. BEEBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
205 S ORANGE AVE, C1200, NEWARK, NJ 07103-2785
(973) 972-2150
(973) 972-2155
Mailing address
30 BERGEN ST, ADMC 12 1205, NEWARK, NJ 07107-3000
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
25MA07323200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0122513
—
NJ
Enumeration date
07/06/2006
Last updated
10/13/2022
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