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CHARIS A VENDITTI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2315 MYRTLE ST STE 290, ERIE, PA 16502-4609
(814) 879-6636
(814) 452-5015
Mailing address
2315 MYRTLE ST STE 290, ERIE, PA 16502-4609
(814) 879-6636
(814) 452-5015

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD452185
PA
2086X0206X
Surgical Oncology Physician
MD452185
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
103092359
PA
01
13682717
CAQH
Enumeration date
06/30/2010
Last updated
11/20/2024
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