1871666198 NPI number — ROBERT J ECHENBERG MD WOMENS HEALTH PELVIC PAIN & SEXUAL WELLNESS PC

Table of content: (NPI 1871666198)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1871666198 NPI number — ROBERT J ECHENBERG MD WOMENS HEALTH PELVIC PAIN & SEXUAL WELLNESS PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ROBERT J ECHENBERG MD WOMENS HEALTH PELVIC PAIN & SEXUAL WELLNESS PC
Provider Last Name:
Provider First Name:
Provider Middle Name:
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Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
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NPI Number Information

NPI Number:
1871666198
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/30/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
623 W UNION BLVD
Provider Second Line Business Mailing Address:
SUITE 5
Provider Business Mailing Address City Name:
BETHLEHEM
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
18018-3708
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
610-868-0104
Provider Business Mailing Address Fax Number:
610-868-0204

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
623 W UNION BLVD
Provider Second Line Business Practice Location Address:
SUITE 5
Provider Business Practice Location Address City Name:
BETHLEHEM
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18018-3708
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-868-0104
Provider Business Practice Location Address Fax Number:
610-868-0204
Provider Enumeration Date:
11/16/2006

Additional Information

Authorized Official

Authorized Official Last Name:
ECHENBERG
Authorized Official First Name:
ROBERT
Authorized Official Middle Name:
J
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
610-868-0104

Provider Taxonomy Codes

  • Taxonomy code: 174400000X , with the licence number:  MD013092E , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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