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DR. JACK MICHAEL BECKER M.D

Allergy and Immunology

Ardmore, Pennsylvania

Provider NPI: 1851349955

Provider Information:
DR. JACK MICHAEL BECKER M.D


Practice Location:
233 E LANCASTER AVE SUITE 200 ARDMORE, PA 19003 US
Tel: 610-642-1643  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207K00000XPhysicians
Allergy & Immunology
PAMDO42717E

Other Provider Identifiers:

IssuerNumberStateType
HIGHMARK PIN673732PA01
0012528080011PA05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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