Provider Demographics
NPI:1730288259
Name:STUDINT, ERIKA B (MD)
Entity Type:Individual
Prefix:
First Name:ERIKA
Middle Name:B
Last Name:STUDINT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 95000 LB#7550
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19195-7550
Mailing Address - Country:US
Mailing Address - Phone:844-362-1734
Mailing Address - Fax:973-290-7495
Practice Address - Street 1:375 E MCFARLAN ST
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:NJ
Practice Address - Zip Code:07801
Practice Address - Country:US
Practice Address - Phone:973-366-5859
Practice Address - Fax:973-366-0026
Is Sole Proprietor?:No
Enumeration Date:2006-09-21
Last Update Date:2022-01-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA06780500208000000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
G81414Medicare UPIN
020544Medicare ID - Type Unspecified