Individual
DANIEL GRANT BECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
570 EGG HARBOR RD STE B2, SEWELL, NJ 08080-2359
(856) 589-6673
Mailing address
570 EGG HARBOR RD STE B2, SEWELL, NJ 08080-2359
(856) 589-6673
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
25MA07485400
NJ
207Y00000X
Otolaryngology Physician
MD060574L
PA
207YS0123X
Facial Plastic Surgery Physician
25MA07485400
NJ
Other
Enumeration date
06/29/2006
Last updated
01/22/2019
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