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Individual

ERIK D ASSARSSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
130 S BRYN MAWR AVE, BRYN MAWR, PA 19010-3121
(610) 526-8693
Mailing address
1020A E BOAL AVE, BOALSBURG, PA 16827-1509
(814) 237-8627
(814) 238-0083

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
MD048428L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0014050210005
PA
01
0644653000
KHPE
PA
01
2798040
AETNA/USHC
PA
01
740196
PA BCBS
PA
Enumeration date
05/25/2006
Last updated
08/27/2007
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