Organization
TANYA J. BECKER MD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TANYA JEAN BECKER MD (OWNER/PRESIDENT)
(401) 728-9206
Entity
Organization
Contact information
Practice address
59 PROSPECT ST, SUITE C, PAWTUCKET, RI 02860-4482
(401) 728-9206
(401) 722-6960
Mailing address
59 PROSPECT ST, SUITE C, PAWTUCKET, RI 02860-4482
(401) 728-9206
(401) 722-6960
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD10708
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2011993783
TRICARE
RI
01
—
2033621
FIRST HEALTH
RI
01
—
275263078A
NHP
RI
01
—
29029-4
BCBS
RI
01
—
543748627
UHC
RI
01
—
963015
CIGNA
RI
01
—
AA26320
HP
RI
05
—
TB55273
—
RI
Enumeration date
05/29/2013
Last updated
05/29/2013
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