Individual
DR. GARY LEE BECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
204 E CHESTER PIKE, RIDLEY PARK, PA 19078-1730
(610) 521-1141
(610) 521-2651
Mailing address
204 E CHESTER PIKE, RIDLEY PARK, PA 19078-1730
(610) 521-1141
(610) 521-2651
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD013511E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0031681000
KEYSTONE HMO
PA
Enumeration date
07/21/2006
Last updated
07/08/2007
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