Healthcare Provider Details

I. General information

NPI: 1144286543
Provider Name (Legal Business Name): ROBERT B BEIM MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/25/2006
Last Update Date: 03/13/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

190 GREENBROOK RD
NORTH PLAINFIELD NJ
07060-3903
US

IV. Provider business mailing address

254 EASTON AVE MOB 4TH FLOOR
NEW BRUNSWICK NJ
08901-1766
US

V. Phone/Fax

Practice location:
  • Phone: 908-756-6812
  • Fax: 908-756-2525
Mailing address:
  • Phone: 732-745-8600
  • Fax: 732-249-3475

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberMA555391
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: