=====================================================
General NPI Number Information
=====================================================
NPI Number | 1083779326
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | ERON ROBERT STURM MD
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/27/2006
-----------------------------------------------------
Last Update Date | 09/13/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 700 COTTMAN AVE STE 101
-----------------------------------------------------
City | PHILADELPHIA
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 19111-3062
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 215-745-4100
-----------------------------------------------------
Fax | 215-745-9565
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1809 W OREGON AVE FL 2
-----------------------------------------------------
City | PHILADELPHIA
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 19145-3700
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 267-479-4180
-----------------------------------------------------
Fax | 267-873-0201
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207RI0011X
-----------------------------------------------------
Taxonomy Name | Interventional Cardiology Physician
-----------------------------------------------------
License Number | MD430252
-----------------------------------------------------
License Number State | PA
-----------------------------------------------------