Healthcare Provider Details

I. General information

NPI: 1114995636
Provider Name (Legal Business Name): ARTHUR A BECKER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/10/2006
Last Update Date: 04/11/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2440 M ST NW
WASHINGTON DC
20037-1404
US

IV. Provider business mailing address

PO BOX 631001
BALTIMORE MD
21263-1001
US

V. Phone/Fax

Practice location:
  • Phone: 301-652-5111
  • Fax:
Mailing address:
  • Phone: 301-652-5111
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License NumberMD4741
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: