Provider Demographics
NPI:1063501781
Name:BECKMAN, KAREN ELAINE (MD)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:ELAINE
Last Name:BECKMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35 RIVER RD
Mailing Address - Street 2:
Mailing Address - City:COS COB
Mailing Address - State:CT
Mailing Address - Zip Code:06807-2717
Mailing Address - Country:US
Mailing Address - Phone:203-629-5800
Mailing Address - Fax:203-629-7956
Practice Address - Street 1:35 RIVER RD
Practice Address - Street 2:
Practice Address - City:COS COB
Practice Address - State:CT
Practice Address - Zip Code:06807-2717
Practice Address - Country:US
Practice Address - Phone:203-629-5800
Practice Address - Fax:203-629-7956
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT038446208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics