Provider Demographics
NPI:1699214759
Name:EYERKUSS, EMILY ABRA (DO)
Entity Type:Individual
Prefix:DR
First Name:EMILY
Middle Name:ABRA
Last Name:EYERKUSS
Suffix:
Gender:F
Credentials:DO
Other - Prefix:DR
Other - First Name:EMILY
Other - Middle Name:ABRA
Other - Last Name:KRAUSS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DO
Mailing Address - Street 1:3253 STATE ROUTE 35 STE 1
Mailing Address - Street 2:
Mailing Address - City:HAZLET
Mailing Address - State:NJ
Mailing Address - Zip Code:07730-1544
Mailing Address - Country:US
Mailing Address - Phone:732-888-7646
Mailing Address - Fax:
Practice Address - Street 1:3253 STATE ROUTE 35 STE 1
Practice Address - Street 2:
Practice Address - City:HAZLET
Practice Address - State:NJ
Practice Address - Zip Code:07730-1544
Practice Address - Country:US
Practice Address - Phone:732-888-7646
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-02-21
Last Update Date:2022-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MB10371800208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics