Healthcare Provider Details

I. General information

NPI: 1275617730
Provider Name (Legal Business Name): EVAMARIA ESKIN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/24/2006
Last Update Date: 04/05/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2309 E EVESHAM RD SUITE 104
VOORHEES NJ
08043-1559
US

IV. Provider business mailing address

336-338 BAY AVE 404
OCEAN CITY NJ
08226-4071
US

V. Phone/Fax

Practice location:
  • Phone: 856-325-5306
  • Fax: 856-325-5312
Mailing address:
  • Phone: 609-922-2117
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083P0500X
TaxonomyPreventive Medicine/Occupational Environmental Medicine Physician
License Number25MA04289500
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: