Individual
GEORGE LAWRENCE BECKER III
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
223 N VAN DIEN AVENUE, THE VALLEY HOSPITAL, RIDGEWOOD, NJ 07450
(201) 444-2019
(201) 444-3604
Mailing address
PO BOX 1173, VALLEY EMERGENCY ROOM ASSOCIATES PA, RIDGEWOOD, NJ 07451
(800) 777-2455
(610) 617-6280
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
25MA06569100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7346603
—
NJ
Enumeration date
06/02/2006
Last updated
07/08/2007
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