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Organization
MEDICAL ASSOCIATES OF ERIE
Active
Organization
MEDICAL ASSOCIATES OF ERIE
Active
Other names
State Street Primary Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DENNIS M STYN (PRESIDENT)
(814) 868-2504
Entity
Organization
Contact information
Practice address
1 LECOM PL, ERIE, PA 16505-2571
(814) 868-2524
(814) 868-2522
Mailing address
1 LECOM PL, ERIE, PA 16505-2571
(814) 868-2524
(814) 868-2522
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
08/07/2012
Last updated
12/18/2012
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