Provider Demographics
NPI:1518030923
Name:ERB, JEFFREY A (NCTMB)
Entity Type:Individual
Prefix:MR
First Name:JEFFREY
Middle Name:A
Last Name:ERB
Suffix:
Gender:M
Credentials:NCTMB
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5154 CARNEGIE ST
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15201-2534
Mailing Address - Country:US
Mailing Address - Phone:412-816-1943
Mailing Address - Fax:
Practice Address - Street 1:5300 BUTLER ST
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15201-2636
Practice Address - Country:US
Practice Address - Phone:412-816-1943
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PANA173000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes173000000XOther Service ProvidersLegal Medicine