Individual
DENNIS E AGOSTINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
5515 PEACH ST, ERIE, PA 16509-2603
(814) 868-8252
(814) 868-8170
Mailing address
5515 PEACH ST, ERIE, PA 16509-2603
(814) 868-8252
(814) 868-8170
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS004128L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007077800004
—
PA
Enumeration date
08/01/2005
Last updated
07/08/2007
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