Individual
DR. EARDLY K P WICKRAMASINGHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1227 TIMBER RIDGE DR, ERIE, PA 16509-2863
(412) 937-8887
(412) 937-9221
Mailing address
1227 TIMBER RIDGE DR, ERIE, PA 16509-2863
(412) 937-8887
(412) 937-9221
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD034527L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000112881
HIGHMARK BCBS
PA
05
—
000761185
—
PA
Enumeration date
05/05/2006
Last updated
11/19/2018
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