MEDICARE: STUART EDWARD BEEBER MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	103642	NY

General Provider Information

NPI Number	:	1528136413
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STUART EDWARD BEEBER MD

Provider Business Mailing Address
First Line	:	175 KING ST
Second Line	:
City	:	CHAPPAQUA
State	:	NY
Zip	:	10514-3471
Country	:	US
Telephone Number	:	914-493-7585
Fax Number	:	914-594-4336

Provider Business Practice Location Address
First Line	:	175 KING ST
Second Line	:
City	:	CHAPPAQUA
State	:	NY
Zip	:	10514-3471
Country	:	US
Telephone Number	:	914-493-7585
Fax Number	:	914-594-4336

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/01/2006
Last Update Date	:	07/22/2013

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Directions to “ STUART EDWARD BEEBER MD” Practice Location

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