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4247 W Ridge Rd Ste 105 Erie PA 16506-1746 | |
(814) 838-2468 | |
(814) 835-2599 |
Full Name | |
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Speciality | Family Medicine |
Location | 4247 W Ridge Rd, Erie, Pennsylvania |
Authorized Official Name and Position | Thomas Murphy (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 8144525310 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1910 Sassafras St Ste 100 Erie PA 16502-2716 Ph: (814) 838-2468 | 4247 W Ridge Rd Ste 105 Erie PA 16506-1746 Ph: (814) 838-2468 |
NPI Number | 1811351596 |
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Provider Enumeration Date | 04/08/2016 |
Last Update Date | 09/02/2016 |
Identifier | Type | State | Issuer |
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1811351596 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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