Organization
NORTHSHORE CLINICAL ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHERYL SEREMET (BILLING AND CREDENTIALING SPECIALIS)
(814) 452-8248
Entity
Organization
Contact information
Practice address
120 E 2ND ST, THIRD FLOOR, ERIE, PA 16507-1537
(814) 452-8300
(814) 452-8308
Mailing address
120 E 2ND ST, THIRD FLOOR, ERIE, PA 16507-1537
(814) 452-8300
(814) 452-8308
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MD030792E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018455840004
—
PA
01
—
C0988
RAILROAD MEDICARE GROUP
PA
Enumeration date
11/03/2005
Last updated
11/12/2012
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