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Organization
ST VINCENT MEDICAL EDUCATION AND RESEARCH INSTITUTE INC
Active
Organization
ST VINCENT MEDICAL EDUCATION AND RESEARCH INSTITUTE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMARA L HATT (MANAGER PROVIDER ENROLLMENT)
(814) 572-3236
Entity
Organization
Contact information
Practice address
2314 SASSAFRAS ST, 2ND FLOOR - ADMIN OFFICE, ERIE, PA 16502-2721
(814) 452-5043
(814) 452-7005
Mailing address
2314 SASSAFRAS ST, 2ND FLOOR - ADMIN OFFICE, ERIE, PA 16502-2721
(814) 452-5043
(814) 452-7005
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
207Q00000X
Family Medicine Physician
—
—
207QS0010X
Sports Medicine (Family Medicine) Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207RG0100X
Gastroenterology Physician
—
—
207RI0200X
Infectious Disease Physician
—
—
207T00000X
Neurological Surgery Physician
—
—
208000000X
Pediatrics Physician
—
—
2080N0001X
Neonatal-Perinatal Medicine Physician
—
—
2084P0800X
Psychiatry Physician
—
—
208600000X
Surgery Physician
—
—
2086X0206X
Surgical Oncology Physician
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
—
—
261QR1300X
Rural Health Clinic/Center
—
—
Other
Enumeration date
12/07/2005
Last updated
06/25/2025
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