# 360 MEDICAL GROUP PENNSYLVANIA PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033043856
- **Authorized official:** JAMES VILLAR (ADMINISTRATOR)
- **Authorized official phone:** (773) 645-1192

## Contact information

- **Practice address:** 502 W 7TH ST STE 100, ERIE, PA 16502-1333
- **Practice address phone:** (215) 326-1602
- **Mailing address:** 502 W 7TH ST STE 100, ERIE, PA 16502-1333

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/09/2026
- **Last updated:** 06/09/2026