Organization
BRUCE E. BEACHAM, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CAROLYN STRAIN (OFFICE MANAGER)
(410) 583-2328
Entity
Organization
Contact information
Practice address
1205 YORK RD, SUITE 20, LUTHERVILLE, MD 21093-6210
(410) 583-2328
(410) 583-2479
Mailing address
1205 YORK RD, SUITE 20, LUTHERVILLE, MD 21093-6210
(410) 583-2328
(410) 583-2479
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
D0019901
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010246
EHP
MD
01
—
193582
COVENTRY
MD
01
—
3204645
AETNA HMO
MD
01
—
4067476
AETNA PPO
MD
01
—
G847/0001
BLUECHOICE/FEDERAL BS
MD
01
—
KEI3/30272004
BC/BS
MD
Enumeration date
11/28/2007
Last updated
09/09/2008
Update your record
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