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NPI Code Detail

MEDICARE: DR. ERIC WILLIAM BEAN DO

MEDICARE: DR. ERIC WILLIAM BEAN DO
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
1207P00000XEmergency Medicine PhysicianOS011226PA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P00087133OTHERPARR MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3BE927846OTHERPABLUE SHIELD

General Provider Information

NPI Number : 1609823145
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ERIC WILLIAM BEAN DO
Provider Business Mailing Address
First Line : PO BOX 783311
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19178-3311
Country : US
Telephone Number : 484-884-4500
Fax Number : 484-884-0699
Provider Business Practice Location Address
First Line : 1337 BLUE VALLEY DR
Second Line : SUITE 8
City : PEN ARGYL
State : PA
Zip : 18072-1815
Country : US
Telephone Number : 610-654-1230
Fax Number : 610-654-1232
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/30/2006
Last Update Date : 03/01/2017

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