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Organization
MEDICAL ASSOCIATES OF ERIE
Active
Organization
MEDICAL ASSOCIATES OF ERIE
Active
Parent organization
MEDICAL ASSOCIATES OF ERIE
Other names
West Grandview Primary Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDICAL ASSOCIATES OF ERIE
Authorized official
JEAN NEJMAN (CREDENTIALING SPECIALIST)
(814) 868-2507
Entity
Organization
Contact information
Practice address
2000 W GRANDVIEW BLVD, ERIE, PA 16509-1029
(814) 868-1088
(814) 868-1094
Mailing address
1 LECOM PL, ERIE, PA 16505-2571
(814) 868-2529
(814) 868-2522
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
12/29/2022
Last updated
12/29/2022
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