Provider Demographics
NPI:1730838608
Name:EHRHARDT, HENRIK WOLFGANG (MBBCH)
Entity type:Individual
Prefix:
First Name:HENRIK
Middle Name:WOLFGANG
Last Name:EHRHARDT
Suffix:
Gender:M
Credentials:MBBCH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 LYONS AVE
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07112-2027
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:125 PATERSON ST STE 6100
Practice Address - Street 2:RUTGERS HEALTH, CLINICAL ACADEMIC BUILDING
Practice Address - City:NEW BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08901-1962
Practice Address - Country:US
Practice Address - Phone:322-357-7337
Practice Address - Fax:732-235-7041
Is Sole Proprietor?:No
Enumeration Date:2022-03-19
Last Update Date:2023-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program