Healthcare Provider Details

I. General information

NPI: 1467553081
Provider Name (Legal Business Name): MARTA T BECKER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/26/2006
Last Update Date: 05/10/2024
Certification Date: 05/10/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

909 SUMNEYTOWN PIKE
SPRING HOUSE PA
19477-1011
US

IV. Provider business mailing address

909 SUMNEYTOWN PIKE
SPRING HOUSE PA
19477-1011
US

V. Phone/Fax

Practice location:
  • Phone: 267-865-0005
  • Fax: 267-865-0006
Mailing address:
  • Phone: 267-865-0005
  • Fax: 267-865-0006

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License NumberMD4232351
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: