Individual
DR. ERIC WILLIAM BEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1337 BLUE VALLEY DR, SUITE 8, PEN ARGYL, PA 18072-1815
(610) 654-1230
(610) 654-1232
Mailing address
PO BOX 783311, PHILADELPHIA, PA 19178-3311
(484) 884-4500
(484) 884-0699
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OS011226
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019598250003
—
PA
01
—
BE927846
BLUE SHIELD
PA
01
—
P00087133
RR MEDICARE
PA
Enumeration date
05/30/2006
Last updated
03/01/2017
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