Provider Demographics
NPI:1629115191
Name:BEKO, ANDREW M (DC)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:M
Last Name:BEKO
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:351 E GREYSTONE RD
Mailing Address - Street 2:
Mailing Address - City:OLD BRIDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:08857-4024
Mailing Address - Country:US
Mailing Address - Phone:732-251-3156
Mailing Address - Fax:732-251-3157
Practice Address - Street 1:351 E GREYSTONE RD
Practice Address - Street 2:
Practice Address - City:OLD BRIDGE
Practice Address - State:NJ
Practice Address - Zip Code:08857-4024
Practice Address - Country:US
Practice Address - Phone:732-251-3156
Practice Address - Fax:732-251-3157
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00507700111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor