Provider Demographics
NPI:1831461029
Name:BECK, JUDAH EVAN (MD)
Entity type:Individual
Prefix:DR
First Name:JUDAH
Middle Name:EVAN
Last Name:BECK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:120 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:JOHNSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15901-1507
Mailing Address - Country:US
Mailing Address - Phone:814-536-5343
Mailing Address - Fax:814-536-1525
Practice Address - Street 1:7000 STONEWOOD DR STE 200
Practice Address - Street 2:
Practice Address - City:WEXFORD
Practice Address - State:PA
Practice Address - Zip Code:15090-7376
Practice Address - Country:US
Practice Address - Phone:724-940-4001
Practice Address - Fax:724-940-4036
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-02
Last Update Date:2020-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD46344207W00000X
PAMD464344207WX0120X, 207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
No207WX0120XAllopathic & Osteopathic PhysiciansOphthalmologyCornea and External Diseases SpecialistGroup - Single Specialty