Organization
SAINT VINCENT MEDICAL EDUCATION AND RESEARCH INSTITUTE
Active
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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