Individual
ERIC SOULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1431 NURSERY ST STE 101, FOGELSVILLE, PA 18051-1612
(484) 273-4343
Mailing address
2100 MACK BLVD, ALLENTOWN, PA 18103-5622
(484) 884-4500
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
25MP00412000
NJ
363AM0700X
Medical Physician Assistant
Primary
OA004644
PA
Other
Enumeration date
12/12/2016
Last updated
09/08/2024
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