Provider Demographics
NPI:1093785917
Name:BEACHY, STANLEY C (MD)
Entity Type:Individual
Prefix:
First Name:STANLEY
Middle Name:C
Last Name:BEACHY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:19 SPRINT DR
Mailing Address - Street 2:SUITE 2
Mailing Address - City:CARLISLE
Mailing Address - State:PA
Mailing Address - Zip Code:17015-7027
Mailing Address - Country:US
Mailing Address - Phone:717-218-8888
Mailing Address - Fax:717-249-7817
Practice Address - Street 1:19 SPRINT DR
Practice Address - Street 2:SUITE 2
Practice Address - City:CARLISLE
Practice Address - State:PA
Practice Address - Zip Code:17015-7027
Practice Address - Country:US
Practice Address - Phone:717-218-8888
Practice Address - Fax:717-249-7817
Is Sole Proprietor?:No
Enumeration Date:2006-01-24
Last Update Date:2014-02-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD015471E207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology