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NPI Code Detail

MEDICARE: JOSEPH BEATTY

MEDICARE: JOSEPH BEATTY
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
1171M00000XCase Manager/Care CoordinatorDC

General Provider Information

NPI Number : 1548960107
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSEPH BEATTY
Provider Business Mailing Address
First Line : 4130 HUNT PL NE
Second Line :
City : WASHINGTON
State : DC
Zip : 20019-3565
Country : US
Telephone Number : 202-388-4300
Fax Number :
Provider Business Practice Location Address
First Line : 4130 HUNT PL NE
Second Line :
City : WASHINGTON
State : DC
Zip : 20019-3565
Country : US
Telephone Number : 202-388-4300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/03/2023
Last Update Date : 03/18/2026

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Directions to “ JOSEPH BEATTY ” Practice Location

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