=====================================================
General NPI Number Information
=====================================================
NPI Number | 1699722330
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | RUBY ANN HALPER-ERKKILA MD
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/28/2006
-----------------------------------------------------
Last Update Date | 07/06/2010
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 48 ROBBINS RD
-----------------------------------------------------
City | BRANCHBURG
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 08876-3711
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 908-526-8300
-----------------------------------------------------
Fax | 908-685-1925
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 48 ROBBINS RD
-----------------------------------------------------
City | BRANCHBURG
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 08876-3711
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 908-526-8300
-----------------------------------------------------
Fax | 908-685-1925
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207Q00000X
-----------------------------------------------------
Taxonomy Name | Family Medicine Physician
-----------------------------------------------------
License Number | 48305
-----------------------------------------------------
License Number State | NJ
-----------------------------------------------------