Dr. John E.W. Beach, M.D.
Internal Medicine, Pulmonary Disease in Fairfax, VA. Individual provider (NPI-1).
NPI number1992861496
StatusActive
Last updated in NPPESNov 14, 2011
Details
- NPI
- 1992861496
- Entity type
- Individual (NPI-1)
- Name
- Dr. John E.W. Beach
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 29, 2006
- Last updated
- Nov 14, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RP1001X | Internal Medicine, Pulmonary Disease | D0054803 | MD | Yes |
| 207RC0200X | Internal Medicine, Critical Care Medicine | 0101046190 | VA |
Practice location
12255 Fair Lakes ParkwayFairfax, VA 22033
Phone 703-934-5905 · Fax 703-934-5778
Mailing address
2101 E Jefferson StKaiser Permanente Medicare Enrollment
Rockville, MD 20852-4908
Phone 301-816-2424 · Fax 301-816-6308
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