Provider Demographics
NPI:1245219625
Name:ESCH, ERIC L (MD)
Entity type:Individual
Prefix:
First Name:ERIC
Middle Name:L
Last Name:ESCH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:418 CLOVERLEAF RD
Mailing Address - Street 2:
Mailing Address - City:ELIZABETHTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:17022-9320
Mailing Address - Country:US
Mailing Address - Phone:717-653-1467
Mailing Address - Fax:717-653-1001
Practice Address - Street 1:418 CLOVERLEAF RD
Practice Address - Street 2:
Practice Address - City:ELIZABETHTOWN
Practice Address - State:PA
Practice Address - Zip Code:17022-9320
Practice Address - Country:US
Practice Address - Phone:717-653-1467
Practice Address - Fax:717-653-1001
Is Sole Proprietor?:No
Enumeration Date:2006-01-12
Last Update Date:2007-09-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD420591207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA78475 S101OtherGEISINGER HEALTH PLAN
PAP004924OtherGATEWAY HEALTH PLAN
PA1469588OtherHIGHMARK BLUE SHIELD
PA3862037OtherAETNA HMO
PA50010136OtherCAPITAL BLUE CROSS
PA7786690OtherAETNA NON-HMO
PA0019418200001Medicaid
PAH80088OtherHEALTH ASSURANCE
PA1469588OtherHIGHMARK BLUE SHIELD
PA7786690OtherAETNA NON-HMO