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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JONATHAN A. BEATTY, M.D.

Active Sole Proprietor

DR. JONATHAN A. BEATTY, M.D. is a 2084P2900X healthcare provider located in PHILADELPHIA, Pennsylvania. NPI 1205028149 is currently active in the NPPES registry. Verify at CMS.

2084P2900X · PHILADELPHIA, PA

Registration Details

NPI Number
1205028149
Provider Type
Individual
Gender
Male
NPI Issued
Aug 14, 2007 (19.023858440418 yrs)
Last Updated
Dec 1, 2024
Licenses
ME162732 (FL)
MD441308 (PA)
MD441308 (PA)
Sole Proprietor
Yes

Practice Information

Address
6 E WILLOW GROVE AVE
PHILADELPHIA, PA, 191183426
Browse PA providers · Browse ZIP 19118
Phone
2152420420
Fax
2157646447
Primary Specialty
2084P2900X
2084P2900X
Additional Specialty
2084P2900X
Additional Specialty
Psychiatry

Other 2084P2900X Providers in PHILADELPHIA, PA

Name Credential NPI
JOHN T FARRAR MD 1427080571
RANGANNA KISHORE KUMAR MD 1801809868
DR. ISABELLE OWEN ARNDT M.D. 1487765020
DR. DANIEL GRUENER M.D. 1871713370
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.