Healthcare Provider Details

I. General information

NPI: 1396713418
Provider Name (Legal Business Name): AMY ESCHINGER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 03/14/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 RIVERVIEW PLZ
RED BANK NJ
07701-1864
US

IV. Provider business mailing address

1 RIVERVIEW PLZ
RED BANK NJ
07701-1864
US

V. Phone/Fax

Practice location:
  • Phone: 732-530-2421
  • Fax:
Mailing address:
  • Phone: 732-530-2421
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number25MA07414900
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: