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Organization

MEDICAL ASSOCIATES OF ERIE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DENNIS STYN (PRESIDENT)
(814) 868-2501
Entity
Organization

Contact information

Practice address
75 W COLUMBUS AVE, CORRY, PA 16407-1135
(814) 664-3981
(814) 664-3987
Mailing address
1 LECOM PL, ERIE, PA 16505-2571
(814) 868-2524

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1010664580001
PA
Enumeration date
03/27/2012
Last updated
03/27/2012
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