Individual
BOB PAUL ERDELYI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
400 MATTHEW ST, STE 211, MARIETTA, OH 45750-1656
(740) 373-6725
(740) 374-4922
Mailing address
PO BOX 449, MARIETTA, OH 45750-0449
(740) 374-4500
(740) 374-5887
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35075919
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000120129
ANTHEM
OH
01
—
000000699799
ANTHEM
OH
01
—
110194369
RRMCR
OH
05
—
2168685
—
OH
05
—
6000973000
—
WV
Enumeration date
06/14/2005
Last updated
08/17/2011
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