Individual
RANDY BECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7253 AMBASSADOR RD, BALTIMORE, MD 21244-2710
(443) 436-1116
(443) 436-1256
Mailing address
7253 AMBASSADOR RD, BALTIMORE, MD 21244-2710
(443) 436-1116
(443) 436-1256
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
D0063310
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
410921000
—
MD
Enumeration date
06/21/2006
Last updated
08/20/2010
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