Organization
ECKER PLASTIC SURGERY ASSOC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HERBERT A ECKER JR. M.D. (PRESIDENT)
(570) 322-4779
Entity
Organization
Contact information
Practice address
920 WASHINGTON BLVD, WILLIAMSPORT, PA 17701
(570) 322-4779
(570) 322-3196
Mailing address
920 WASHINGTON BLVD, WILLIAMSPORT, PA 17701
(570) 322-4779
(570) 322-3196
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
MD021034E
PA
261QA1903X
Ambulatory Surgical Clinic/Center
MD021034E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
072535
FIRST PRIORITY HEALTH
PA
01
—
132338
BLUE SHIELD
PA
Enumeration date
02/20/2007
Last updated
10/21/2008
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