Provider Demographics
NPI:1124091012
Name:SOIFERMAN, ERIK IRA (DO, FACOI)
Entity type:Individual
Prefix:DR
First Name:ERIK
Middle Name:IRA
Last Name:SOIFERMAN
Suffix:
Gender:M
Credentials:DO, FACOI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 HORSHAM RD
Mailing Address - Street 2:SUITE 1
Mailing Address - City:HORSHAM
Mailing Address - State:PA
Mailing Address - Zip Code:19044-2013
Mailing Address - Country:US
Mailing Address - Phone:484-944-1551
Mailing Address - Fax:484-944-1527
Practice Address - Street 1:401 HORSHAM RD
Practice Address - Street 2:SUITE 1
Practice Address - City:HORSHAM
Practice Address - State:PA
Practice Address - Zip Code:19044-2013
Practice Address - Country:US
Practice Address - Phone:484-944-1551
Practice Address - Fax:484-944-1527
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-10
Last Update Date:2016-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS 010670-L207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAOS 010670-LOtherPENNSYLVANIA LICENSE
PA045908ZFATOtherMEDICARE PROVIDER ID
PA045908SVMMedicare PIN
H32267Medicare UPIN