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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
TIMOTHY SCOTT MCGAHEN (CHIEF FINANCIAL OFFICER)
(814) 868-2535
Entity
Organization
Contact information
Practice address
1 LECOM PL, ERIE, PA 16505-2571
(814) 868-2535
(814) 868-2522
Mailing address
1 LECOM PL, ERIE, PA 16505-2571
(814) 868-2535
(814) 868-2522
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
207W00000X
Ophthalmology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
208000000X
Pediatrics Physician
—
—
208600000X
Surgery Physician
—
—
208M00000X
Hospitalist Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101066458
—
PA
Enumeration date
07/12/2006
Last updated
08/22/2024
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