Dr. Simon Becker, DPM
Podiatrist in West Orange, NJ. Individual provider (NPI-1).
NPI number1982605697
StatusActive
Last updated in NPPESOct 30, 2024
Details
- NPI
- 1982605697
- Entity type
- Individual (NPI-1)
- Name
- Dr. Simon Becker
- Credential
- DPM
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 3, 2005
- Certification date
- Oct 30, 2024
- Last updated
- Oct 30, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 213E00000X | Podiatrist | MD00229500 | NJ | Yes |
Practice location
667 Eagle Rock AveWest Orange, NJ 07052-2177
Phone 973-736-4030 · Fax 973-325-0969
Mailing address
667 Eagle Rock AveWest Orange, NJ 07052-2177
Phone 973-736-4030 · Fax 973-325-0969
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