Provider Demographics
NPI:1154359990
Name:PALLOP, ERIC AIN
Entity type:Individual
Prefix:MR
First Name:ERIC
Middle Name:AIN
Last Name:PALLOP
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 PRINCETON - HIGHTSTOWN RD
Mailing Address - Street 2:STE 201 BLDG A
Mailing Address - City:EAST WINDSAR
Mailing Address - State:NJ
Mailing Address - Zip Code:08520
Mailing Address - Country:US
Mailing Address - Phone:609-426-4442
Mailing Address - Fax:609-443-0910
Practice Address - Street 1:300 PRINCETON - HIGHTSTOWN RD
Practice Address - Street 2:STE 201 BLDG A
Practice Address - City:EAST WINDSAR
Practice Address - State:NJ
Practice Address - Zip Code:08520
Practice Address - Country:US
Practice Address - Phone:609-426-4442
Practice Address - Fax:609-443-0910
Is Sole Proprietor?:No
Enumeration Date:2006-06-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJQA03157225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist