Doctor Name: | ERIC MARIO MAKOON-SINGH |
NPI Number: | 1629201884 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | MD026794E |
Business Practice Address: | 501 N. Lansdowne Ave Delaware County Memorial Hospital Drexel Hill, PA - 19026 |
Business Phone Number: | 6102848420 |
Business Fax Number: | |
Mailing Address: | 132 Woodgate Lane, PAOLI |
State: | PA |
Postal Code: | 19301 |
Phone Number: | 4843187435 |
Fax Number: | |
NPI Enumeration Date: | 09/03/2009 |
NPI Last Update Date: | 09/03/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | MD026794E |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |