Provider Demographics
NPI:1962533117
Name:BECK, CAROL WEISMAN (MD)
Entity type:Individual
Prefix:DR
First Name:CAROL
Middle Name:WEISMAN
Last Name:BECK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:CAROL
Other - Middle Name:ELLEN
Other - Last Name:WEISMAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:26463 HENDON RD
Mailing Address - Street 2:
Mailing Address - City:BEACHWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:44122-2427
Mailing Address - Country:US
Mailing Address - Phone:216-464-5078
Mailing Address - Fax:216-464-5078
Practice Address - Street 1:26463 HENDON RD
Practice Address - Street 2:
Practice Address - City:BEACHWOOD
Practice Address - State:OH
Practice Address - Zip Code:44122-2427
Practice Address - Country:US
Practice Address - Phone:216-464-5078
Practice Address - Fax:216-464-5078
Is Sole Proprietor?:No
Enumeration Date:2007-03-08
Last Update Date:2014-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.044612208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics