Healthcare Provider Details

I. General information

NPI: 1841461530
Provider Name (Legal Business Name): FERHAN BEKEN, MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/20/2008
Last Update Date: 10/18/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

910 ACADEMY LANE HOME OFFICE
BRYN MAWR PA
19010-2220
US

IV. Provider business mailing address

910 ACADEMY LN
BRYN MAWR PA
19010-2220
US

V. Phone/Fax

Practice location:
  • Phone: 484-380-3499
  • Fax: 484-380-2542
Mailing address:
  • Phone: 484-380-3499
  • Fax: 484-380-2542

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberMD060106L
License Number StatePA

VIII. Authorized Official

Name: FERHAN BEKEN
Title or Position: OWNER
Credential: MD
Phone: 610-888-0484