Healthcare Provider Details

I. General information

NPI: 1710980412
Provider Name (Legal Business Name): ANTOINETTE ALONZO BEAMAN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ANTOINETTE MARIE ALONZO-BEAMAN MD

II. Dates (important events)

Enumeration Date: 05/27/2005
Last Update Date: 04/06/2025
Certification Date: 04/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8000 CRANBERRY SPRINGS DR FL 1
CRANBERRY TWP PA
16066-6687
US

IV. Provider business mailing address

806 HURON CT
GIBSONIA PA
15044-8039
US

V. Phone/Fax

Practice location:
  • Phone: 724-720-3098
  • Fax:
Mailing address:
  • Phone: 412-352-9261
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMD425932
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: