Individual
CECILIA T. URQUICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2501 W 12TH ST, SUITE 1, ERIE, PA 16505-4527
(814) 806-1144
(814) 833-0659
Mailing address
PO BOX 644850, PITTSBURGH, PA 15264-4850
(412) 937-8887
(412) 937-9221
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD435122
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002060951
HIGHMARK BCBS
PA
05
—
1026730840001
—
PA
01
—
P01058226
RR MEDICARE
PA
Enumeration date
05/10/2006
Last updated
12/21/2012
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