Provider Demographics
NPI:1164866729
Name:MOLNAR, ERIC D (DO)
Entity Type:Individual
Prefix:DR
First Name:ERIC
Middle Name:D
Last Name:MOLNAR
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:404 LIPPINCOTT DR
Mailing Address - Street 2:
Mailing Address - City:MARLTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08053-4112
Mailing Address - Country:US
Mailing Address - Phone:856-782-3300
Mailing Address - Fax:856-504-8029
Practice Address - Street 1:210 ROUTE 94
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:NJ
Practice Address - Zip Code:07832-2764
Practice Address - Country:US
Practice Address - Phone:908-362-9285
Practice Address - Fax:908-362-7756
Is Sole Proprietor?:No
Enumeration Date:2013-04-24
Last Update Date:2021-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MB10153700207Q00000X
FLOS13991207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ25MB10153700OtherNEW JERSEY MEDICAL LICENSE
FLIQ180ZMedicare PIN