Provider Demographics
NPI:1023147006
Name:WRIGHT, ERIN A (MD)
Entity type:Individual
Prefix:DR
First Name:ERIN
Middle Name:A
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:402 LIPPINCOTT DR
Mailing Address - Street 2:
Mailing Address - City:MARLTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08053-4112
Mailing Address - Country:US
Mailing Address - Phone:856-782-3300
Mailing Address - Fax:856-504-8029
Practice Address - Street 1:646 KINGS HWY
Practice Address - Street 2:
Practice Address - City:WEST DEPTFORD
Practice Address - State:NJ
Practice Address - Zip Code:08096-3145
Practice Address - Country:US
Practice Address - Phone:856-879-2887
Practice Address - Fax:856-879-2855
Is Sole Proprietor?:No
Enumeration Date:2007-03-05
Last Update Date:2010-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC7-0003285208000000X
PAMT186337208000000X
NJ25MA08366800208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ01004664600OtherAMERICHOICE
NJ60042012OtherHORIZON NJ HEALTH
NJ0167380Medicaid
NJ1879475/9010167OtherAETAN
NJ5158345OtherCIGNA
NJP3922118OtherOXFORD
NJ60042012OtherHORIZON NJ HEALTH
NJ01004664600OtherAMERICHOICE