Individual
DR. ERIC DORNBLASER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
801 OSTRUM ST, BETHLEHEM, PA 18015-1000
(610) 954-4500
Mailing address
PO BOX 509, SCRANTON, PA 18501-0509
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OS004779L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010231900002
—
PA
Enumeration date
02/15/2006
Last updated
07/08/2007
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