Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | MD18203 | DC |
NPI | 1013061886 |
---|---|
Provider Name | Dr. Richard J. Beckerman |
First Address | Washington, DC 20016-2618 |
Second Address | Washington, DC 20016-2618 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/01/2007 |
Last Update Date | 16/09/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F05676 | (02) | DC |