Individual
DR. ERIC BART LONDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
328 WOODSTONE TRAIL, WHITE LAKE, NY 12786
(609) 921-0332
(718) 494-3650
Mailing address
P.O. BOX 913, SMALLWOOD, NY 12778
(609) 921-0332
(718) 494-3650
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
141255-1
NY
2084P0800X
Psychiatry Physician
47430
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
441219B1L
MEDICARE BILLING NO.
NJ
Enumeration date
08/02/2006
Last updated
09/14/2015
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