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Organization
MEDICAL ASSOCIATES OF ERIE
Active
Organization
MEDICAL ASSOCIATES OF ERIE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS STYN (PRESIDENT)
(814) 866-8468
Entity
Organization
Contact information
Practice address
4234 BUFFALO RD, ERIE, PA 16510-2112
(814) 899-7777
Mailing address
1858 W GRANDVIEW BLVD, ERIE, PA 16509-1025
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1010664580003
—
PA
Enumeration date
03/26/2007
Last updated
08/22/2020
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