Eric W. Bantz is a Allergy in Medford, New Jersey. Eric W. Bantz practices all healthcare services and medical treatments related to Allergy. The NPI Number for Eric W. Bantz is 1124172598. The last update date is 2012-07-05.
Eric W. Bantz's current location address is 103 Old Marlton Pike Ste 211, Medford, New Jersey. You can contact this provider via phone number 6099537500 and fax number 6099539085. The mailing address for Eric W. Bantz is 103 Old Marlton Pike Ste 211, Medford, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Eric W. Bantz |
|---|---|
| Address | 103 Old Marlton Pike Ste 211, Medford, New Jersey |
| Phone Number | 6099537500 |
| Fax Number | 6099539085 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1124172598 |
|---|---|
| Provider Enumeration Date | 2007-01-23 |
| Last Updated Date | 2012-07-05 |
Provider Mailing Address Detail
| Address | 103 Old Marlton Pike Ste 211 |
|---|---|
| City | Medford |
| State | New Jersey (NJ) |
| Post Code | 80558772 |
| Phone Number | 6099537500 |
| Fax Number | 6099539085 |
Provider's Primary Taxonomy Detail
| Speciality | Allergy |
|---|---|
| Taxonomy | 207Ka0200X |
| Licence No | MA48238 |
|
Definition: A physician who specializes in the diagnosis, treatment, and management of allergies. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 811426 | NJ | CIGNA PROVIDER # | |
| P381888 | NJ | OXFORD PROVIDER ID | |
| 147995 | NJ | KEYSTONE INSURANCE ID | |
| 5312302 | NJ | -- | |
| 10003124010 | NJ | -- | |
| 3373326 | NJ | AETNA PROVIDER ID | |
| 721570737 | NJ | TAX ID# | |
| 83386 | NJ | -- | |
| J017341 | NJ | TRICARE PRIME PROVIDER ID | |
| 350808000 | NJ | AMERIHEALTH HMO PROVIDER |
Post Comment/ Review Below
What is the Eric W. Bantz's 1124172598?
The Eric W. Bantz's NPI (National Provider Identifier) Number is 1124172598. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Eric W. Bantz?
The Eric W. Bantz is situated at 103 Old Marlton Pike Ste 211, in the city of Medford, state of NJ, with the zip code 80558772.
What is Eric W. Bantz's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Eric W. Bantz is Allergy, and the taxonomy code that classifies this field of practice is 207Ka0200X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1124172598 to Eric W. Bantz?
The Centers for Medicare & Medicaid Services originally issued the 1124172598 to Eric W. Bantz on 2007-01-23.
When was the Eric W. Bantz's information last updated?
The Eric W. Bantz's information was last updated on 2012-07-05.