Doctor Name: | REBECCA EIRICH |
NPI Number: | 1003001678 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | 26NJ00124100 |
Business Practice Address: | 188 Fries Mill Rd Suite A-2 Turnersville, NJ - 080122015 |
Business Phone Number: | 8568756895 |
Business Fax Number: | 8562621635 |
Mailing Address: | Po Box 536, VOORHEES |
State: | NJ |
Postal Code: | 080430536 |
Phone Number: | 8566696050 |
Fax Number: | 8566510794 |
NPI Enumeration Date: | 09/07/2007 |
NPI Last Update Date: | 09/07/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LX0001X |
License Number: | 26NJ00124100 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Obstetrics & Gynecology |
Taxonomy Definition: |