| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 213 E 41st St, 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 |
|---|---|
1910 Sassafras St Suite 100 Erie PA 16502-2716 Ph: (814) 864-4987 | 213 E 41st St Erie PA 16504-2009 Ph: (814) 864-4987 |
| NPI Number | 1699202390 |
|---|---|
| Provider Enumeration Date | 05/12/2017 |
| Last Update Date | 05/12/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699202390 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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