Organization
ORTHOPAEDIC & SPORTS MEDICINE OF ERIE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLENE A KELLERMAN (PRACTICE ADMINISTRATOR)
(814) 454-8287
Entity
Organization
Contact information
Practice address
300 YORK ST, CORRY, PA 16407-1420
(814) 664-9866
(814) 454-8470
Mailing address
300 STATE ST, #400A, ERIE, PA 16507-1427
(814) 454-8287
(814) 454-8470
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012321160003
—
PA
Enumeration date
03/19/2008
Last updated
03/19/2008
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