Healthcare Provider Details

I. General information

NPI: 1568442770
Provider Name (Legal Business Name): DONALD JOSEPH BECK DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/23/2006
Last Update Date: 01/05/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

978 PERRY HWY
PITTSBURGH PA
15237-2107
US

IV. Provider business mailing address

978 PERRY HWY
PITTSBURGH PA
15237-2107
US

V. Phone/Fax

Practice location:
  • Phone: 412-367-8882
  • Fax: 412-367-8668
Mailing address:
  • Phone: 412-367-8882
  • Fax: 412-367-8668

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License NumberSC002549L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: