Individual
DR. BECKIE MICHAEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
775 ROUTE 70 E STE F120A, MARLTON, NJ 08053-2357
(856) 988-8800
(856) 988-8804
Mailing address
775 ROUTE 70 E STE F120A, MARLTON, NJ 08053-2357
(856) 988-8800
(856) 988-8804
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MB05513800
NJ
207R00000X
Internal Medicine Physician
OS007703L
PA
207RN0300X
Nephrology Physician
Primary
25MB05513800
NJ
207RN0300X
Nephrology Physician
5253
OK
207RN0300X
Nephrology Physician
OS007703L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7429207
—
NJ
Enumeration date
07/07/2006
Last updated
03/06/2023
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