Individual
DR. SIMON BECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
667 EAGLE ROCK AVE, WEST ORANGE, NJ 07052-2177
(973) 736-4030
(973) 325-0969
Mailing address
667 EAGLE ROCK AVE, WEST ORANGE, NJ 07052-2177
(973) 736-4030
(973) 325-0969
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
MD00229500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6702805
—
NJ
Enumeration date
08/03/2005
Last updated
10/30/2024
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