MEDICARE: DR. THOMAS ANDREW ERCHINGER M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician	12458	MS
2	208C00000X	Colon & Rectal Surgery Physician	12458	MS
3	208600000X	Surgery Physician	MD457236	PA

General Provider Information

NPI Number	:	1427050723
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. THOMAS ANDREW ERCHINGER M.D.

Provider Business Mailing Address
First Line	:	100 NORTH ACADEMY AVE.
Second Line	:
City	:	DANVILLE
State	:	PA
Zip	:	17822-4903
Country	:	US
Telephone Number	:	570-271-6144
Fax Number	:

Provider Business Practice Location Address
First Line	:	1000 EAST MOUNTAIN BLVD.
Second Line	:
City	:	WILKES-BARRE
State	:	PA
Zip	:	18711-3762
Country	:	US
Telephone Number	:	570-808-2340
Fax Number	:	570-808-7904

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/01/2005
Last Update Date	:	08/31/2020

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