# EAR NOSE AND THROAT SPECIALISTS OF NORTHWESTERN PENNSYLVANIA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710991559
- **Authorized official:** ROBERT MICHAEL BUDACKI (PRACTICE ADMINISTRATOR)
- **Authorized official phone:** (814) 864-9994

## Contact information

- **Practice address:** 1645 W 8TH ST, \#200, ERIE, PA 16505-5007
- **Practice address phone:** (814) 864-9994
- **Practice address fax:** (814) 866-2655
- **Mailing address:** 1645 W 8TH ST, \#200, ERIE, PA 16505-5007
- **Mailing address phone:** (814) 864-9994
- **Mailing address fax:** (814) 866-2655

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 231H00000X | Audiologist | — | NULL | Yes |
| 231H00000X | Audiologist | — | — | Yes |

## Other

- **Enumeration date:** 07/28/2006
- **Last updated:** 04/06/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 01402146 | — | PA |