Healthcare Provider Details

I. General information

NPI: 1134327133
Provider Name (Legal Business Name): JENNIFER ANN ERDOS M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/11/2007
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8775 NORWIN AVE STE A
IRWIN PA
15642-2718
US

IV. Provider business mailing address

680 PELLIS RD STE 1
GREENSBURG PA
15601-4453
US

V. Phone/Fax

Practice location:
  • Phone: 724-861-7901
  • Fax: 724-864-7928
Mailing address:
  • Phone: 724-689-1970
  • Fax: 724-689-1989

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberMD429004
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: