Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RH0003X | Hematology & Oncology | SP019184 | PA |
Y | 2084N0400X | Neurologist | SP019184 | PA |
N | 363LF0000X | Nurse Practitioner - Family Medicine | SP019184 | PA |
NPI | 1053881896 |
---|---|
Provider Name | Nicholas Alexander Beam |
First Address | Chester, PA 19013-3902 |
Second Address | Chester, PA 19013-3902 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/12/2018 |
Last Update Date | 06/08/2021 |