Provider Demographics
NPI:1154381135
Name:BECKER, HILARY J (MD)
Entity type:Individual
Prefix:
First Name:HILARY
Middle Name:J
Last Name:BECKER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:HILARY
Other - Middle Name:J
Other - Last Name:SPENCE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2150 NOLL DRIVE, SUITE 100
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17603
Mailing Address - Country:US
Mailing Address - Phone:717-299-8933
Mailing Address - Fax:717-299-5635
Practice Address - Street 1:2150 NOLL DRIVE, SUITE 100
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17603
Practice Address - Country:US
Practice Address - Phone:717-299-8933
Practice Address - Fax:717-299-5635
Is Sole Proprietor?:No
Enumeration Date:2006-03-24
Last Update Date:2015-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD014426E208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA01544001OtherCAPITAL BLUE CROSS
PA100885OtherHIGHMARK BLUE SHIELD ID
PA000629431Medicaid
E63551Medicare UPIN