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Individual

ROBERT J. BECKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
59 KOCH RD, GREYSTONE PARK PSYCHIATRIC HOSPITAL, MORRIS PLAINS, NJ 07950
(973) 538-1800
(973) 889-8789
Mailing address
1501 GATES CT, MORRIS PLAINS, NJ 07950-3462
(414) 793-5454

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
25MA04024700
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
176533C2E
MEDICARE BILLING NO.
NJ
Enumeration date
12/11/2006
Last updated
01/06/2011
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