Individual
EDWARD KEVIN BEATTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2201 CHAPEL AVE W, CHERRY HILL, NJ 08002-2048
(856) 488-6470
Mailing address
1619 S ITHAN ST, PHILADELPHIA, PA 19143-5319
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/30/2018
Last updated
10/30/2018
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