Individual
DR. DEBORAH A BEITER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
130 RIVERFRONT TERRACE, POCONO LAKE, PA 18347-2519
(570) 643-5020
(570) 643-5020
Mailing address
PO BOX 459 130 RIVERFRONT TERRACE, POCONO LAKE, PA 18347
(570) 643-5020
(570) 643-5020
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA04079700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0970301
—
NJ
Enumeration date
07/29/2005
Last updated
07/21/2022
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