Healthcare Provider Details

I. General information

NPI: 1306690086
Provider Name (Legal Business Name): ERIKA PLOGSTEDT MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/17/2024
Last Update Date: 04/17/2024
Certification Date: 04/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

450 CHEW ST STE 203
ALLENTOWN PA
18102-3434
US

IV. Provider business mailing address

1700 ST LUKES BLVD OFC
EASTON PA
18045-5670
US

V. Phone/Fax

Practice location:
  • Phone: 484-822-7850
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMT230443
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: