Provider Demographics
NPI:1083779326
Name:STURM, ERON ROBERT (MD)
Entity Type:Individual
Prefix:
First Name:ERON
Middle Name:ROBERT
Last Name:STURM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1809 W OREGON AVE FL 2
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19145-3700
Mailing Address - Country:US
Mailing Address - Phone:267-479-4180
Mailing Address - Fax:267-873-0201
Practice Address - Street 1:1015 CHESTNUT ST
Practice Address - Street 2:5TH FL SUITE 512
Practice Address - City:PHILADELPHIPA
Practice Address - State:PA
Practice Address - Zip Code:19107-4305
Practice Address - Country:US
Practice Address - Phone:267-479-4180
Practice Address - Fax:215-873-0201
Is Sole Proprietor?:No
Enumeration Date:2006-12-27
Last Update Date:2023-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD430252207RI0011X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA102254292Medicaid