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Organization
360 MEDICAL GROUP PENNSYLVANIA PC
Active
Organization
360 MEDICAL GROUP PENNSYLVANIA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES VILLAR (ADMINISTRATOR)
(773) 645-1192
Entity
Organization
Contact information
Practice address
502 W 7TH ST STE 100, ERIE, PA 16502-1333
(215) 326-1602
Mailing address
502 W 7TH ST STE 100, ERIE, PA 16502-1333
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
06/09/2026
Last updated
06/09/2026
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