Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | 25MA06270600 | NJ |
NPI | 1073535282 |
---|---|
Provider Name | Dr. Eric C. Manning |
First Address | Hillsborough, NJ 08844-1529 |
Second Address | Hillsborough, NJ 08844-1529 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/07/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F26444 | (02) | NJ |