Provider Demographics
NPI:1457552192
Name:BEECH, GINA MARIA (DC)
Entity Type:Individual
Prefix:DR
First Name:GINA
Middle Name:MARIA
Last Name:BEECH
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9112 OLD GEORGETOWN RD
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20814-1652
Mailing Address - Country:US
Mailing Address - Phone:301-897-8500
Mailing Address - Fax:301-897-9164
Practice Address - Street 1:9112 OLD GEORGETOWN RD
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20814-1652
Practice Address - Country:US
Practice Address - Phone:301-897-8500
Practice Address - Fax:301-897-9164
Is Sole Proprietor?:No
Enumeration Date:2007-05-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDSO1244111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDS2460001OtherCAREFIRST BCBS DC
MDM095OtherCAREFIRST BCBS
MDM095OtherCAREFIRST BCBS