Healthcare Provider Details

I. General information

NPI: 1659373421
Provider Name (Legal Business Name): ERWIN J OEI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/11/2005
Last Update Date: 02/03/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 SPRINGFIELD AVE 3RD FLOOR
SUMMIT NJ
07901-4055
US

IV. Provider business mailing address

PO BOX 416457
BOSTON MA
02241-6457
US

V. Phone/Fax

Practice location:
  • Phone: 908-934-0555
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number25MA07010700
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: