Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | MD423247 | PA |
NPI | 1023068475 |
---|---|
Provider Name | Mr. Erik Alan Chotiner |
First Address | Harrisburg, PA 17112-1071 |
Second Address | Harrisburg, PA 17112-1071 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/05/2006 |
Last Update Date | 01/04/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1016222870001 | (05) | PA |
132101 | (02) | PA |
I32101 | (02) | PA |