Provider Demographics
NPI:1215124599
Name:BEATIE, WILLIAM EDWARD (MD)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:EDWARD
Last Name:BEATIE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3425 N CARLISLE ST
Mailing Address - Street 2:2ND FLOOR HUDSON BUILDING
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19140-5108
Mailing Address - Country:US
Mailing Address - Phone:215-707-8561
Mailing Address - Fax:215-707-3677
Practice Address - Street 1:2301 E ALLEGHENY AVE
Practice Address - Street 2:DEPT. OF ORTHOPEDIC & SPORTS MEDICINE
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19134-4427
Practice Address - Country:US
Practice Address - Phone:215-291-3777
Practice Address - Fax:215-291-3776
Is Sole Proprietor?:No
Enumeration Date:2007-10-01
Last Update Date:2008-04-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MDD41048174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist