Bantz, Eric W.

Bantz, Eric W. is an individual health care provider with primary practice located at 103 Old Marlton Pike Ste 211 , Medford NJ 08055-8772. He recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy, which is considered as his primary health care specialty. Bantz, Eric W. can be contacted via phone (609) 953-7500.

Contact Information

Primary practice address
103 Old Marlton Pike Ste 211 Medford NJ 08055-8772
Phone: (609) 953-7500
Fax: (609) 953-9085
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy 207KA0200X MA48238 New Jersey

Profile Details

NPI number 1124172598
LBN Legal business name Bantz, Eric W.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2007
Last updated Jul 5th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1124172598 NPPES
New Jersey Other 0811426 CIGNA PROVIDER #
New Jersey Other P381888 CIGNA PROVIDER #
New Jersey Other 147995 CIGNA PROVIDER #
New Jersey MEDICAID 5312302 CIGNA PROVIDER #
New Jersey MEDICAID 010003124010 CIGNA PROVIDER #
New Jersey Other 3373326 CIGNA PROVIDER #
New Jersey Other 721570737 CIGNA PROVIDER #
New Jersey MEDICAID 83386 CIGNA PROVIDER #
New Jersey Other J017341 CIGNA PROVIDER #
New Jersey Other 0350808000 CIGNA PROVIDER #
New Jersey Other 60012703 CIGNA PROVIDER #

Popular Providers