Organization
SAINT VINCENT MEDICAL EDUCATION AND RESEARCH INSTITUTE
Active
Other names
Saint Vincent Surgical Oncology
Organization subpart
No
Provider details
NPI number
Authorized official
DANA BOATMAN (EXECUTIVE DIRECTOR)
(814) 452-5264
Entity
Organization
Contact information
Practice address
145 W 23RD ST, SUITE 202, ERIE, PA 16502-2858
(814) 451-8008
(814) 456-1528
Mailing address
3530 PEACH ST, SUITE LL1, ERIE, PA 16508-2768
(814) 860-5000
(814) 860-5050
Taxonomy
Speciality
Code
Description
License number
State
2086X0206X
Surgical Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007725200053
—
PA
Enumeration date
10/17/2006
Last updated
08/22/2020
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