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Organization

ANTHRACITE EMERGENCY PHYSICIANS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ERIC GOLDMAN DO (MEDICAL DIRECTOR)
(570) 621-4656
Entity
Organization

Contact information

Practice address
700 E NORWEGIAN ST, POTTSVILLE, PA 17901-2710
(570) 621-4656
(570) 628-2210
Mailing address
232 LAKESIDE DR, HORSHAM, PA 19044-2319
(215) 442-5021
(215) 957-2875

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1008810600001
PA
01
AN1586870
BLUE SHIELD
PA
Enumeration date
05/12/2006
Last updated
04/20/2008
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