Healthcare Provider Details

I. General information

NPI: 1922328582
Provider Name (Legal Business Name): BECKERMAN WOMEN'S HEALTH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/07/2010
Last Update Date: 06/07/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3203 TOWER OAKS BLVD SUITE 102
ROCKVILLE MD
20852-4258
US

IV. Provider business mailing address

3203 TOWER OAKS BLVD SUITE 102
ROCKVILLE MD
20852-4258
US

V. Phone/Fax

Practice location:
  • Phone: 301-230-1488
  • Fax: 301-230-3199
Mailing address:
  • Phone: 301-230-1488
  • Fax: 301-230-3199

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License NumberD0050205
License Number StateMD

VIII. Authorized Official

Name: DR. TOBIE BECKERMAN
Title or Position: OWNER
Credential: M.D
Phone: 301-230-1488