Provider Demographics
NPI:1154304244
Name:BEHR, EDITH DEL MAR (MD)
Entity Type:Individual
Prefix:DR
First Name:EDITH
Middle Name:DEL MAR
Last Name:BEHR
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:730 S HANOVER ST
Mailing Address - Street 2:
Mailing Address - City:POTTSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19465-7520
Mailing Address - Country:US
Mailing Address - Phone:610-323-6835
Mailing Address - Fax:610-323-4154
Practice Address - Street 1:13 ARMAND HAMMER BLVD
Practice Address - Street 2:SUITE 301
Practice Address - City:POTTSTOWN
Practice Address - State:PA
Practice Address - Zip Code:19464-5067
Practice Address - Country:US
Practice Address - Phone:610-323-1662
Practice Address - Fax:610-323-4154
Is Sole Proprietor?:No
Enumeration Date:2005-11-22
Last Update Date:2014-10-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMD039249E208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001234990 0004Medicaid
PA001234990 0004Medicaid
E74081Medicare UPIN