person
Dr. Eric W. Bantz, MD
Allergy Physician in Medford, New Jersey
NPI 1124172598

Eric W. Bantz is an Allergy Physician based in Medford, NJ and is specialized in Allergy. Eric W. Bantz practices in Medford, NJ and has the professional credentials of MD. The NPI Number for Eric W. Bantz is 1124172598 and holds a License No. MA48238 (New Jersey).

The current practice location address for Eric W. Bantz is 103 Old Marlton Pike Ste 211, Medford, NJ and can be reached out via phone at 609-953-7500 and via fax at 609-953-9085.

Location: 103 Old Marlton Pike Ste 211, Medford, NJ, 08055-8772
person
Provider Profile Details
NPI Number
1124172598
Provider Name
Eric W. Bantz
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
103 Old Marlton Pike Ste 211, Medford, NJ, 08055-8772
Phone Number
609-953-7500
Fax Number
609-953-9085
Provider Enumeration Date
01/23/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0811426 01 NJ CIGNA PROVIDER #
P381888 01 NJ OXFORD PROVIDER ID
147995 01 NJ KEYSTONE INSURANCE ID
5312302 05 NJ
010003124010 05 NJ
3373326 01 NJ AETNA PROVIDER ID
721570737 01 NJ TAX ID#
83386 05 NJ
J017341 01 NJ TRICARE PRIME PROVIDER ID
0350808000 01 NJ AMERIHEALTH HMO PROVIDER
60012703 01 NJ HORIZON-MERCY
institution
Provider Business Practice Location Address Details
Address
103 Old Marlton Pike Ste 211
City
State
Zip
08055-8772
Phone Number
609-953-7500
Fax Number
609-953-9085
person
Provider Business Mailing Address Details
Address
103 Old Marlton Pike Ste 211
City
State
Zip
08055-8772
Phone Number
609-953-7500
Fax Number
609-953-9085
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Allergy & Immunology
Speciality
Allergy
Taxonomy
License No.
MA48238 (New Jersey)
Definition
Definition to come...
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