Healthcare Provider Details

I. General information

NPI: 1528687423
Provider Name (Legal Business Name): JENNIFER BECKERMAN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/10/2020
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

THE GW MEDICAL FACULTY ASSOCIATES 2150 PENNSYLVANIA AVENUE, NW
WASHINGTON DC
20037
US

IV. Provider business mailing address

2150 PENNSYLVANIA AVE NW
WASHINGTON DC
20037-3201
US

V. Phone/Fax

Practice location:
  • Phone: 202-741-3000
  • Fax:
Mailing address:
  • Phone: 202-741-3000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License NumberMD210011436
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: