Provider Demographics
NPI:1003251349
Name:ECK, PHILIP OFOSU (MD)
Entity Type:Individual
Prefix:MR
First Name:PHILIP
Middle Name:OFOSU
Last Name:ECK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:30 PROSPECT AVE STE 2703
Mailing Address - Street 2:
Mailing Address - City:HACKENSACK
Mailing Address - State:NJ
Mailing Address - Zip Code:07601-1915
Mailing Address - Country:US
Mailing Address - Phone:551-996-2419
Mailing Address - Fax:551-996-3962
Practice Address - Street 1:30 PROSPECT AVE STE 2703
Practice Address - Street 2:
Practice Address - City:HACKENSACK
Practice Address - State:NJ
Practice Address - Zip Code:07601-1915
Practice Address - Country:US
Practice Address - Phone:551-996-2419
Practice Address - Fax:551-996-3962
Is Sole Proprietor?:No
Enumeration Date:2013-04-30
Last Update Date:2023-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY301946207L00000X
NJ25MA10212800207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology