Provider Demographics
NPI:1114999331
Name:BECKER, ERIC D (MD)
Entity Type:Individual
Prefix:DR
First Name:ERIC
Middle Name:D
Last Name:BECKER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2045 WESTGATE DR
Mailing Address - Street 2:STE 402
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18017
Mailing Address - Country:US
Mailing Address - Phone:610-882-2050
Mailing Address - Fax:610-882-3633
Practice Address - Street 1:2045 WESTGATE DR
Practice Address - Street 2:STE 402
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18017
Practice Address - Country:US
Practice Address - Phone:610-882-2050
Practice Address - Fax:610-882-3633
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-02
Last Update Date:2013-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD039642E2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
E73877Medicare UPIN
PA600606Medicare ID - Type Unspecified