Individual
ANDREW M. ECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
210 MALL BLVD STE 102, KING OF PRUSSIA, PA 19406-3260
(610) 265-0726
(610) 265-3132
Mailing address
PO BOX 789967, PHILADELPHIA, PA 19178-9967
(484) 622-7395
(484) 622-7399
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD029085E
PA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
MD029085E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012662690004
—
PA
01
—
0019834
AETNA HMO
PA
01
—
0047323000
IBC - PC/KHPE
PA
01
—
0126626902
AMERICHOICE (UHC MA PLAN)
PA
01
—
10926144
CAQH ID#
PA
01
—
110236405
RRM
PA
01
—
1163449
CIGNA HMO/PPO
PA
01
—
1164942
KEYSTONE MERCY
PA
01
—
2122242
ALLIANCE/OPT CHC (MAMSI)
PA
01
—
26575-MD029085E
HEALTH PARTNERS
PA
01
—
350698
PHCS
PA
01
—
4110656
AETNA PPO
PA
01
—
475021
HIGHMARK BLUE SHIELD
PA
Enumeration date
06/28/2006
Last updated
11/15/2018
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