Healthcare Provider Details

I. General information

NPI: 1871666198
Provider Name (Legal Business Name): ROBERT J ECHENBERG MD WOMENS HEALTH PELVIC PAIN & SEXUAL WELLNESS PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/16/2006
Last Update Date: 07/30/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

623 W UNION BLVD SUITE 5
BETHLEHEM PA
18018-3708
US

IV. Provider business mailing address

623 W UNION BLVD SUITE 5
BETHLEHEM PA
18018-3708
US

V. Phone/Fax

Practice location:
  • Phone: 610-868-0104
  • Fax: 610-868-0204
Mailing address:
  • Phone: 610-868-0104
  • Fax: 610-868-0204

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License NumberMD013092E
License Number StatePA

VIII. Authorized Official

Name: DR. ROBERT J ECHENBERG
Title or Position: PRESIDENT
Credential: MD
Phone: 610-868-0104