Provider Demographics
NPI:1689197238
Name:DENISE A BEACH DPM PC
Entity Type:Organization
Organization Name:DENISE A BEACH DPM PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PODIATRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DENISE
Authorized Official - Middle Name:A
Authorized Official - Last Name:BEACH
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:410-945-5400
Mailing Address - Street 1:PO BOX 421
Mailing Address - Street 2:
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117
Mailing Address - Country:US
Mailing Address - Phone:410-945-5400
Mailing Address - Fax:410-566-8219
Practice Address - Street 1:201 MILFORD MILL RD
Practice Address - Street 2:SUITE #201
Practice Address - City:PIKESVILLE
Practice Address - State:MD
Practice Address - Zip Code:21208
Practice Address - Country:US
Practice Address - Phone:410-945-5400
Practice Address - Fax:410-566-8219
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-25
Last Update Date:2023-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD01256332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies