| Medical Associates Of Erie | |
|
2820 W 12th St Erie PA 16505-4204 | |
| (814) 833-8800 | |
| (814) 833-2079 |
| Full Name | Medical Associates Of Erie |
|---|---|
| Speciality | Family Medicine |
| Location | 2820 W 12th St, Erie, Pennsylvania |
| Authorized Official Name and Position | Jean Nejman (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 8148682507 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical Associates Of Erie 1 Lecom Pl Erie PA 16505-2571 Ph: () - | Medical Associates Of Erie 2820 W 12th St Erie PA 16505-4204 Ph: (814) 833-8800 |
| NPI Number | 1740944966 |
|---|---|
| Provider Enumeration Date | 10/25/2021 |
| Last Update Date | 10/25/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740944966 | NPI | - | NPPES |
| 101066458 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
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