Provider Demographics
NPI:1518100239
Name:BECKWITH, KATHERINE A (MD, MPH)
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:A
Last Name:BECKWITH
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Gender:F
Credentials:MD, MPH
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Other - First Name:
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Mailing Address - Street 1:61 DAVIS AVENUE
Mailing Address - Street 2:SUITE 1
Mailing Address - City:NEPTUNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07753-4863
Mailing Address - Country:US
Mailing Address - Phone:732-776-4860
Mailing Address - Fax:732-776-4867
Practice Address - Street 1:600 N WOLFE ST
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21287-0005
Practice Address - Country:US
Practice Address - Phone:410-955-2727
Practice Address - Fax:410-955-9850
Is Sole Proprietor?:No
Enumeration Date:2009-04-10
Last Update Date:2015-08-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA096821002080P0205X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0205XAllopathic & Osteopathic PhysiciansPediatricsPediatric Endocrinology