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NPI Code Detail

MEDICARE: SEAN PATRICK BECKMAN DO

MEDICARE: SEAN PATRICK BECKMAN DO
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1629712567
Entity Type Code : Individual
Provider Name (Legal Business Name) : SEAN PATRICK BECKMAN DO
Provider Business Mailing Address
First Line : 150 BERGEN ST
Second Line :
City : NEWARK
State : NJ
Zip : 07103-2496
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 150 BERGEN ST
Second Line :
City : NEWARK
State : NJ
Zip : 07103-2496
Country : US
Telephone Number : 973-972-4300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/26/2022
Last Update Date : 04/26/2022

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Directions to “ SEAN PATRICK BECKMAN DO” Practice Location

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