Individual
BROCK A BEAMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10 N GREENE ST, BALTIMORE VAMC (BT/18/GRECC), BALTIMORE, MD 21201-1524
(410) 605-7000
(410) 605-7913
Mailing address
10 N GREENE ST, BALTIMORE VAMC (BT/18/GRECC), BALTIMORE, MD 21201-1524
(410) 605-7000
(410) 605-7913
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
D47479
MD
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
D47479
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
369961700
—
MD
Enumeration date
04/20/2006
Last updated
10/02/2012
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