Provider Demographics
NPI:1043522022
Name:OCEAN ORTHOPEDICS PC
Entity Type:Organization
Organization Name:OCEAN ORTHOPEDICS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:BECK
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:410-641-1900
Mailing Address - Street 1:314 FRANKLIN AVE
Mailing Address - Street 2:SUITE 105B
Mailing Address - City:BERLIN
Mailing Address - State:MD
Mailing Address - Zip Code:21811-1215
Mailing Address - Country:US
Mailing Address - Phone:410-641-1900
Mailing Address - Fax:410-641-9473
Practice Address - Street 1:314 FRANKLIN AVE
Practice Address - Street 2:SUITE 105B
Practice Address - City:BERLIN
Practice Address - State:MD
Practice Address - Zip Code:21811-1215
Practice Address - Country:US
Practice Address - Phone:410-641-1900
Practice Address - Fax:410-641-9473
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-08
Last Update Date:2010-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty