Provider Demographics
NPI:1023068475
Name:CHOTINER, ERIK ALAN (MD)
Entity type:Individual
Prefix:MR
First Name:ERIK
Middle Name:ALAN
Last Name:CHOTINER
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 1:4100 LINGLESTOWN ROAD
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17112-1071
Mailing Address - Country:US
Mailing Address - Phone:717-657-2020
Mailing Address - Fax:717-657-2071
Practice Address - Street 1:4100 LINGLESTOWN ROAD
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17112-1071
Practice Address - Country:US
Practice Address - Phone:717-657-2020
Practice Address - Fax:717-657-2071
Is Sole Proprietor?:No
Enumeration Date:2006-05-10
Last Update Date:2010-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD423247207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1016222870001Medicaid
PAI32101Medicare UPIN
PA1016222870001Medicaid
PA419353Medicare PIN