Provider Demographics
NPI:1922054931
Name:HUMPHREYS, ERIKA (MD)
Entity Type:Individual
Prefix:DR
First Name:ERIKA
Middle Name:
Last Name:HUMPHREYS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1479 ROUTE 539
Mailing Address - Street 2:SUITE 1A
Mailing Address - City:LITTLE EGG HARBOR TWP
Mailing Address - State:NJ
Mailing Address - Zip Code:08087-9749
Mailing Address - Country:US
Mailing Address - Phone:609-296-1900
Mailing Address - Fax:609-296-1906
Practice Address - Street 1:1479 ROUTE 539
Practice Address - Street 2:SUITE 1A
Practice Address - City:LITTLE EGG HARBOR TWP
Practice Address - State:NJ
Practice Address - Zip Code:08087-9749
Practice Address - Country:US
Practice Address - Phone:609-296-1900
Practice Address - Fax:609-296-1906
Is Sole Proprietor?:No
Enumeration Date:2006-05-25
Last Update Date:2013-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA06802200208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics