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Individual

DR. ERIC DAITER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
34-36 PROGRESS ST, SUITE B4, EDISON, NJ 08820-1197
(908) 226-0250
(908) 226-0830
Mailing address
34-36 PROGRESS ST, SUITE B4, EDISON, NJ 08820-1197
(908) 226-0250
(908) 226-0830

Taxonomy

Speciality
Code
Description
License number
State
207VE0102X
Reproductive Endocrinology Physician
Primary
25MA06037400
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0064156000
AMERIHEALTH INSURANCE COM
NJ
01
0204670
GHI INSURANCE COMPANY
NJ
01
2K9762
HEALTHNET INSURANCE COMPA
NJ
01
505215
AETNA INSURANCE COMPANY
NJ
05
6175503
NJ
01
DA766331
EMPIRE MEDICARE INSURANCE
NJ
01
MA53294
PIN (MDC)
NJ
01
P748760
OXFORD INSURANCE COMPANY
NJ
Enumeration date
09/22/2006
Last updated
08/13/2007
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