Individual
DR. MICHELLE RUTH BEAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
111 S 11TH ST, SUITE 8490, PHILADELPHIA, PA 19107-4824
(215) 955-6161
(215) 923-5507
Mailing address
111 S 11TH ST, SUITE 8490, PHILADELPHIA, PA 19107-4824
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
OS015069
PA
207L00000X
Anesthesiology Physician
OTO11729
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0239381
—
NJ
05
—
102498331
—
PA
Enumeration date
07/18/2007
Last updated
02/24/2014
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