Organization
ARMANINI, KOLODYCHAK, & BASILE, L.L.P.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL THOMAS KOLODYCHAK D.M.D. (PARTNER)
(814) 838-2144
Entity
Organization
Contact information
Practice address
4600 ZUCK RD, ERIE, PA 16506-4932
(814) 838-2144
(814) 838-7227
Mailing address
4600 ZUCK RD, ERIE, PA 16506-4932
(814) 838-2144
(814) 838-7227
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000950549
HIGHMARK IDENTIFICATION
—
01
—
V0V08O
UPMC HEALTH PLAN IDENTIFICATION
—
Enumeration date
06/18/2006
Last updated
07/21/2022
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