Basic Information
| Provider Information | |||||||||
| NPI: | 1275682668 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | PRESTON | ||||||||
| FirstName: | ERIN | ||||||||
| MiddleName: | B | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | CORPORATE CREDENTIALING | ||||||||
| Address2: | P.O. BOX 269 | ||||||||
| City: | WILMINGTON | ||||||||
| State: | DE | ||||||||
| PostalCode: | 19899 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3026515938 | ||||||||
| FaxNumber: | 3026516077 | ||||||||
| Practice Location | |||||||||
| Address1: | JEFFERSON FACULTY PEDS DUPONT CHILDRENS HLTH PROGRAM | ||||||||
| Address2: | 833 CHESTNUT STREET EAST SUITE 300 | ||||||||
| City: | PHILADELPHIA | ||||||||
| State: | PA | ||||||||
| PostalCode: | 19107 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2159556000 | ||||||||
| FaxNumber: | 2159234267 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/09/2007 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208000000X | C10007178 | DE | X | Allopathic & Osteopathic Physicians | Pediatrics | 208M00000X | MD421636 | PA | X | Allopathic & Osteopathic Physicians | Hospitalist |
No ID Information.