NPI 1720260110

Bruce E. Beacham, M.D., P.A.

Organisation Dermatology Physician Lutherville, MD

Practice location

Address: 1205 York Rd Suite 20, Lutherville, MD 21093-6210
Phone: (410) 583-2328
Fax: (410) 583-2479

Authorised official

Name: Carolyn Strain
Title: Office Manager
Phone: (410) 583-2328

Registered specialties

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence D0019901 (MD)

Other Dermatology providers in Maryland →

Registry record

NPI: 1720260110
Entity type: Organization
NPI issued: 28 Nov 2007
Record last updated: 9 Sep 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.