Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | MD013092E | PA |
NPI | 1104901883 |
---|---|
Provider Name | Dr. Robert Jay Echenberg |
First Address | Bethlehem, PA 18018-3708 |
Second Address | Bethlehem, PA 18018-3708 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/10/2006 |
Last Update Date | 08/07/2007 |