NPI 1093020950 · live from the CMS NPI Registry
Eduardo J. Colom Beauchamp, M.D.
Orthopaedic Surgery in New York, NY. National Provider Identifier 1093020950, active.
NPI record
| NPI | 1093020950 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Orthopaedic Surgery 207X00000X |
| Practice location | 622 W 168th St, New York, NY 10032 |
| Practice phone | 212-305-5974 |
| Mailing address | 622 W 168th St Ph 11, New York, NY 10032 |
| Enumerated | August 16, 2010 |
| Last updated | September 23, 2024 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthopaedic Surgery, Orthopaedic Surgery of the Spine | 207XS0117X | 287773 (NY) |
| Orthopaedic Surgery primary | 207X00000X | 287773 (NY) |
| Orthopaedic Surgery, Orthopaedic Surgery of the Spine | 207XS0117X | 59106 (MN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.