Provider Demographics
NPI:1992768543
Name:HOLENDER, ERIC S (DO)
Entity type:Individual
Prefix:
First Name:ERIC
Middle Name:S
Last Name:HOLENDER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:217 FRANKLIN AVE
Mailing Address - Street 2:SUITE 5
Mailing Address - City:PALMERTON
Mailing Address - State:PA
Mailing Address - Zip Code:18071-1509
Mailing Address - Country:US
Mailing Address - Phone:610-824-5050
Mailing Address - Fax:610-824-5053
Practice Address - Street 1:217 FRANKLIN AVE
Practice Address - Street 2:SUITE 5
Practice Address - City:PALMERTON
Practice Address - State:PA
Practice Address - Zip Code:18071-1509
Practice Address - Country:US
Practice Address - Phone:610-824-5050
Practice Address - Fax:610-824-5053
Is Sole Proprietor?:No
Enumeration Date:2006-04-06
Last Update Date:2013-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS008968L207YX0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YX0901XAllopathic & Osteopathic PhysiciansOtolaryngologyOtology & Neurotology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA95735OtherGEISINGER HEALTH PLAN
PAP00008003OtherMEDICARE RAILROAD
PA3Y4498OtherHEALTHNET
PA0699620OtherGHI
PA345007OtherBLUE SHIELD
PA134974OtherMEDPLUS/UNISON
PA50010753OtherCAPITAL BLUE CROSS
PA0017853600003Medicaid
PA818550OtherBLUE CARD/FIRST PRIORITY
PA818550OtherBLUE CARD/FIRST PRIORITY
PA345007OtherBLUE SHIELD