Individual
MR. ERIC A RUNQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1201 NEWTOWN-LANGHORNE RD, ST MARY MEDICAL CENTER OPERATING ROOM, LANGHORNE, PA 19047-1306
(215) 710-2000
Mailing address
695 US HIGHWAY 46, STE 400A, FAIRFIELD, NJ 07004-1568
(973) 826-8291
(888) 972-6480
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
MA001381L
PA
Other
Enumeration date
01/30/2014
Last updated
07/05/2018
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