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Individual

JOSEPH M BECKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1919 CHESTNUT ST APT 919, PHILADELPHIA, PA 19103-3413
(610) 812-4518
Mailing address
1919 CHESTNUT ST APT 919, PHILADELPHIA, PA 19103-3413
(610) 812-4518

Taxonomy

Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
MD013384E
PA
2085R0202X
Diagnostic Radiology Physician
Primary
MD013384E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0008752750012
PA
01
MD013384E
MEDICAL LICENSE
PA
Enumeration date
06/02/2006
Last updated
01/05/2022
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