Becker, Gary Lee

Becker, Gary Lee is an individual health care provider with primary practice located at 204 E Chester Pike , Ridley Park PA 19078-1730. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Becker, Gary Lee can be contacted via phone (610) 521-1141.

Contact Information

Primary practice address
204 E Chester Pike Ridley Park PA 19078-1730
Phone: (610) 521-1141
Fax: (610) 521-2651
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X MD013511E Pennsylvania

Profile Details

NPI number 1497776298
LBN Legal business name Becker, Gary Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497776298 NPPES
Pennsylvania Other 0031681000 KEYSTONE HMO
Pennsylvania Other 0031681000 KEYSTONE HMO

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