Provider Demographics
NPI:1124273057
Name:BECKER, MAIER (MD)
Entity type:Individual
Prefix:MR
First Name:MAIER
Middle Name:
Last Name:BECKER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:24050 COMMERCE PARK
Mailing Address - Street 2:SUITE 100
Mailing Address - City:BEACHWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:44122-5833
Mailing Address - Country:US
Mailing Address - Phone:216-896-9301
Mailing Address - Fax:216-896-9302
Practice Address - Street 1:265 SUNRISE HWY
Practice Address - Street 2:SUITE 109
Practice Address - City:ROCKVILLE CTR
Practice Address - State:NY
Practice Address - Zip Code:11570-4912
Practice Address - Country:US
Practice Address - Phone:216-896-9301
Practice Address - Fax:216-896-9302
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-19
Last Update Date:2008-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.063902207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine