Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RX0202X | Medical Oncology | MD468132 | PA |
NPI | 1114955085 |
---|---|
Provider Name | Dr. James Foster Beck |
First Address | Du Bois, PA 15801-1440 |
Second Address | Du Bois, PA 15801-1440 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/06/2006 |
Last Update Date | 03/09/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
129190001 | (05) | AR |
G25436 | (02) |