Organization
DENNIS M SCULLY, MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENNIS M SCULLY M.D. (PHYSICIAN)
(814) 868-0943
Entity
Organization
Contact information
Practice address
3822 SCHAPER AVE, ERIE, PA 16508-3344
(814) 868-0943
(814) 866-1160
Mailing address
3822 SCHAPER AVE, ERIE, PA 16508-3344
(814) 868-0943
(814) 866-1160
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD017266E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0008844520002
—
PA
Enumeration date
03/08/2007
Last updated
12/15/2009
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