Organization
ST VINCENT MEDICAL EDUCATION AND RESEARCH INSTITUTE INC
Active
Other names
Colorectal Physicians & Surgeons of PA
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA BALLMAN (DIRECTOR OF OPERATIONS)
(814) 452-5296
Entity
Organization
Contact information
Practice address
145 W 23RD ST, SUITE 201, ERIE, PA 16502-2858
(814) 453-2777
(814) 453-2779
Mailing address
3530 PEACH ST, SUITE LL1, ERIE, PA 16508-2768
(814) 860-5036
(814) 860-5063
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
—
—
Other
Enumeration date
03/18/2010
Last updated
09/29/2010
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