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NPI Code Detail

MEDICARE: DR. PATRICK D BEATY MD

MEDICARE: DR. PATRICK D BEATY 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
1207R00000XInternal Medicine Physician25MA04572000NJ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1851480180
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PATRICK D BEATY MD
Provider Business Mailing Address
First Line : 581 SCOTLAND RD
Second Line :
City : UNION
State : NJ
Zip : 07083-7909
Country : US
Telephone Number : 908-687-4232
Fax Number :
Provider Business Practice Location Address
First Line : 935 GARFIELD AVE
Second Line :
City : JERSEY CITY
State : NJ
Zip : 07304-2731
Country : US
Telephone Number : 201-478-5803
Fax Number : 201-478-5814
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/12/2006
Last Update Date : 07/08/2007

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Directions to “ DR. PATRICK D BEATY MD” Practice Location

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