Basic Information
| Provider Information | |||||||||
| NPI: | 1104880970 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BEEKLEY | ||||||||
| FirstName: | ALEC | ||||||||
| MiddleName: | C | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 11 CHURCH RD | ||||||||
| Address2: | |||||||||
| City: | ST DAVIDS | ||||||||
| State: | PA | ||||||||
| PostalCode: | 190874761 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2155190674 | ||||||||
| FaxNumber: | 2159237957 | ||||||||
| Practice Location | |||||||||
| Address1: | 1100 WALNUT ST | ||||||||
| Address2: | 5TH FLOOR | ||||||||
| City: | PHILADELPHIA | ||||||||
| State: | PA | ||||||||
| PostalCode: | 191075563 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2159556750 | ||||||||
| FaxNumber: | 2158238222 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/17/2006 | ||||||||
| LastUpdateDate: | 01/17/2012 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2086S0127X | MD439962 | PA | Y | Allopathic & Osteopathic Physicians | Surgery | Trauma Surgery |
No ID Information.