Provider Demographics
NPI:1831403534
Name:BADER, ERIC MYER (MD)
Entity type:Individual
Prefix:DR
First Name:ERIC
Middle Name:MYER
Last Name:BADER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:15 VALLEY DR
Mailing Address - Street 2:SUITE 200
Mailing Address - City:GREENWICH
Mailing Address - State:CT
Mailing Address - Zip Code:06831-5205
Mailing Address - Country:US
Mailing Address - Phone:203-863-4210
Mailing Address - Fax:203-622-1872
Practice Address - Street 1:15 VALLEY DR
Practice Address - Street 2:SUITE 200
Practice Address - City:GREENWICH
Practice Address - State:CT
Practice Address - Zip Code:06831-5205
Practice Address - Country:US
Practice Address - Phone:203-863-4210
Practice Address - Fax:203-622-1872
Is Sole Proprietor?:No
Enumeration Date:2010-08-05
Last Update Date:2016-03-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CT54102207RC0000X, 207RC0001X, 207UN0901X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0001XAllopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac Electrophysiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207UN0901XAllopathic & Osteopathic PhysiciansNuclear MedicineNuclear Cardiology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine