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Contact Information

BEACON HEALTH SERVICES LLC
802 OLD SPRINGFIELD AVE
SUMMIT, NJ07901-1130
 Phone: 908-333-4665
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Nutritionist

133N00000X
 

Ph.D. Medical Genetics

170100000X
Indicates primary specialty

NPI Profile & details for BEACON HEALTH SERVICES LLC · (Female)

NPI Number 1609415520
Status Active
Credentials
Entity Individual
Enumeration date 12/23/2019
Last updated 12/23/2019 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
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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