Individual
DR. ERIC J DEPPERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1001 BALTIMORE PIKE, SUITE 109, SPRINGFIELD, PA 19064-2800
(610) 690-1776
(610) 690-1777
Mailing address
1001 BALTIMORE PIKE, SUITE 109, SPRINGFIELD, PA 19064-2800
(610) 690-1776
(610) 690-1777
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD047585L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0014085330001
—
PA
Enumeration date
07/13/2005
Last updated
11/10/2010
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