Individual
DANIEL M. BECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1222 JEFFERSON PARK AVE, CHARLOTTESVILLE, VA 22903-3410
(434) 924-1931
(434) 244-4451
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101037374
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006076718
—
VA
01
—
110066111
RR MEDICARE
VA
Enumeration date
12/19/2006
Last updated
08/08/2023
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