MEDICARE: DR. MARTA T BECKER MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Y00000X	Otolaryngology Physician	MD4232351	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	075375	OTHER	BLUE SHIELD OF PA
3	30013345	OTHER	KEYSTONE MERCY

General Provider Information

NPI Number	:	1467553081
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARTA T BECKER MD

Provider Business Mailing Address
First Line	:	909 SUMNEYTOWN PIKE
Second Line	:
City	:	SPRING HOUSE
State	:	PA
Zip	:	19477-1011
Country	:	US
Telephone Number	:	267-865-0005
Fax Number	:	267-865-0006

Provider Business Practice Location Address
First Line	:	909 SUMNEYTOWN PIKE
Second Line	:
City	:	SPRING HOUSE
State	:	PA
Zip	:	19477-1011
Country	:	US
Telephone Number	:	267-865-0005
Fax Number	:	267-865-0006

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/26/2006
Last Update Date	:	05/10/2024

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Directions to “ DR. MARTA T BECKER MD” Practice Location

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