Organization
FLAGSHIP CARDIAC VASCULAR AND THORACIC SURGERY OF ERIE, PC
Active
Other names
FLAGSHIP CVTS
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY SUE FELLOWS (OFFICE MANAGER)
(814) 453-6751
Entity
Organization
Contact information
Practice address
120 E 2ND ST, ERIE, PA 16507-1537
(814) 453-6751
Mailing address
120 E 2ND ST, ERIE, PA 16507-1537
(814) 453-6751
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CA2015
RAILROAD MEDICARE
PA
Enumeration date
04/06/2006
Last updated
01/07/2008
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