Organization
ERIC EGELMAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC MILES EGELMAN DPM (OWNER)
(717) 527-0015
Entity
Organization
Contact information
Practice address
121 WEST 8TH ST., PORT ROYAL, PA 17082
(717) 527-0015
(717) 527-4183
Mailing address
121 WEST 8TH ST., PORT ROYAL, PA 17082
(717) 527-0015
(717) 527-4183
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
SC 003223 L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001175146 0004
—
PA
01
—
02320200
KEYSTONE
PA
01
—
120833269
GEISINGER HEALTH PLAN
PA
01
—
256127
HIGHMARK BLUE SHIELD
PA
01
—
3514070
CZGNA
PA
01
—
480027522
RAILROAD MEDICARE
PA
01
—
88127
HEALTH AMERICA
PA
Enumeration date
01/24/2008
Last updated
03/19/2009
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