Provider Demographics
NPI:1871688192
Name:HUME, ERIC L (MD)
Entity Type:Individual
Prefix:
First Name:ERIC
Middle Name:L
Last Name:HUME
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 1:3737 MARKET ST
Mailing Address - Street 2:7TH FLOOR
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19104-5545
Mailing Address - Country:US
Mailing Address - Phone:215-662-3340
Mailing Address - Fax:215-222-8875
Practice Address - Street 1:3737 MARKET ST
Practice Address - Street 2:7TH FLOOR
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19104-5545
Practice Address - Country:US
Practice Address - Phone:215-662-3340
Practice Address - Fax:215-222-8875
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2014-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD022236E207X00000X
NJ25MA07384300207X00000X, 207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1166805OtherHORIZON NJ HEALTH
PA000890600 0005Medicaid
NJ1243831OtherUNITED HEALTHCARE
PA1433198OtherPA BS HIGHMARK
NJ0495204Medicaid
NJ2117888000OtherAMERIHEALTH/KEYSTONE/IBC
NJ010004405OtherAMERICHOICE
NJ3K5445OtherHEALTHNET
NJ200045263OtherRR MEDICARE
NJ2500560OtherAETNA
NJ36239OtherUNIVERSITY HEALTH PLAN
NJ2944617OtherAETNA
NJP2737998OtherOXFORD
NJ200045263OtherRR MEDICARE
NJ1166805OtherHORIZON NJ HEALTH
PA000890600 0005Medicaid