Healthcare Provider Details

I. General information

NPI: 1427553429
Provider Name (Legal Business Name): ERIN DUBNOW HUNT MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ERIN CHELSEA DUBNOW MD

II. Dates (important events)

Enumeration Date: 03/29/2018
Last Update Date: 08/01/2025
Certification Date: 08/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 MARTER AVE STE 100
MOORESTOWN NJ
08057-3147
US

IV. Provider business mailing address

200 MARTER AVE STE 100
MOORESTOWN NJ
08057-3147
US

V. Phone/Fax

Practice location:
  • Phone: 856-235-2147
  • Fax:
Mailing address:
  • Phone: 856-235-2147
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number0101274944
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number25MA12584400
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: