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Organization
SAINT VINCENT MEDICAL EDUCATION AND RESEARCH INSTITUTE INC
Active
Organization
SAINT VINCENT MEDICAL EDUCATION AND RESEARCH INSTITUTE INC
Active
Other names
Port Erie Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA BALLMAN RN (DIRECTOR OF OPERATIONS)
(814) 452-5296
Entity
Organization
Contact information
Practice address
3413 CHERRY ST, ERIE, PA 16508-2678
(814) 860-5970
(814) 868-8561
Mailing address
3530 PEACH ST, SUITE LL1, ERIE, PA 16508-2768
(814) 860-5036
(814) 860-5050
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100772520 0054
—
PA
Enumeration date
09/28/2009
Last updated
09/28/2009
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