Basic Information
| Provider Information | |||||||||
| NPI: | 1013949577 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | BEITTEL-BECKER PEDIATRIC ASSOCIATES, LLP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2150 NOLL DRIVE, SUITE 100 | ||||||||
| Address2: | |||||||||
| City: | LANCASTER | ||||||||
| State: | PA | ||||||||
| PostalCode: | 17603 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7172998933 | ||||||||
| FaxNumber: | 7172995635 | ||||||||
| Practice Location | |||||||||
| Address1: | 2150 NOLL DRIVE, SUITE 100 | ||||||||
| Address2: | |||||||||
| City: | LANCASTER | ||||||||
| State: | PA | ||||||||
| PostalCode: | 17603 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7172998933 | ||||||||
| FaxNumber: | 7172995635 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/07/2006 | ||||||||
| LastUpdateDate: | 08/22/2020 | ||||||||
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| AuthorizedOfficialLastName: | LAUBE | ||||||||
| AuthorizedOfficialFirstName: | GRETA | ||||||||
| AuthorizedOfficialMiddleName: | L | ||||||||
| AuthorizedOfficialTitleorPosition: | PARTNER | ||||||||
| AuthorizedOfficialTelephone: | 7172998933 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MRS. | ||||||||
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| AuthorizedOfficialCredential: | M.D. | ||||||||
| NPICertificationDate: | |||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208000000X | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Pediatrics |
No ID Information.