DR. Bruce Edmund Beacham, MD

NPI #1386625861 in Lutherville, Maryland

Provider Information

NPI Number: 1386625861
Entity Type: Individual
Name: DR. Bruce Edmund Beacham, MD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dermatology
Credential: MD
Enumeration Date: Nov 10, 2005
Last Updated: Sep 9, 2008

Practice Location

Address: 1205 YORK RD
Address 2: STE 20
City: Lutherville
State: Maryland
ZIP Code: 21093-6210
Phone: (410) 583-2328

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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