Individual
DR. ANDREW B BEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3 COOPER PLZ, SUITE 408, CAMDEN, NJ 08103-1438
(856) 968-3670
(856) 968-8588
Mailing address
3 COOPER PLZ, SUITE 408, CAMDEN, NJ 08103-1438
(856) 968-3670
(856) 968-8588
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MA08983100
NJ
207X00000X
Orthopaedic Surgery Physician
MD430687
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA08983100
STATE LICENSE
NJ
Enumeration date
05/16/2007
Last updated
08/13/2014
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