Individual
DR. PHILIP BEUCHERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1000 MONTAUK HWY, WEST ISLIP, NY 11795-4927
(952) 595-1100
(612) 294-4903
Mailing address
11995 SINGLETREE LN STE 500, EDEN PRAIRIE, MN 55344-5349
(952) 595-1301
(612) 294-4903
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
203184
NY
2085R0202X
Diagnostic Radiology Physician
C54580
CA
208D00000X
General Practice Physician
203184-1
NY
208D00000X
General Practice Physician
C54580
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02229876
—
NY
Enumeration date
07/27/2005
Last updated
12/05/2025
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