MEDICARE: AMY ERDMAN DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	OS009639L	PA

General Provider Information

NPI Number	:	1730294141
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMY ERDMAN DO

Provider Business Mailing Address
First Line	:	703 COVERDALE RD
Second Line	:
City	:	WILMINGTON
State	:	DE
Zip	:	19805-2808
Country	:	US
Telephone Number	:	302-656-6908
Fax Number	:

Provider Business Practice Location Address
First Line	:	196 W SPROUL RD
Second Line	:
City	:	SPRINGFIELD
State	:	PA
Zip	:	19064-2045
Country	:	US
Telephone Number	:	610-328-7860
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/19/2006
Last Update Date	:	07/08/2007

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Directions to “ AMY ERDMAN DO” Practice Location

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