Organization
PAUL N ERCKMAN MD
Active
Other names
Monroe Childrens Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL N ERCKMAN M.D. (OWNER PHYSICIAN)
(704) 289-2556
Entity
Organization
Contact information
Practice address
1307B EAST FRANKLIN ST, MONROE, NC 28112
(704) 289-2556
(704) 282-1282
Mailing address
1307B EAST FRANKLIN ST, MONROE, NC 28112
(704) 289-2556
(704) 282-1282
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
16277
NC
208000000X
Pediatrics Physician
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
249124
MAMSI
NC
01
—
30740
BLUE CROSS BLUE SHIELD
NC
01
—
4491873
AETNA
NC
05
—
8930740
—
NC
01
—
N16277
SC MEDICAID
SC
Enumeration date
05/18/2006
Last updated
08/01/2008
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