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Contact Information

JACK M BECKER, MD
233 E LANCASTER AVE STE 200
ARDMORE, PA19003
 Phone: 610-642-1643
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Allergy & Immunology

207K00000X 03 Physician/Allergy/ Immunology
Indicates primary specialty

NPI Profile & details for JACK M BECKER · (Male)

NPI # 1851349955
Status Active
Credentials MD
Entity Individual
Enumeration date 05/04/2006
Last updated 05/21/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • PA License # MDO42717E
  • PA Medicaid 001252808
  • PA Other 673732 HIGHMARK PIN
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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