Organization
MEDICAL ASSOCIATES OF ERIE
Active
Parent organization
MEDICAL ASSOCIATES OF ERIE
Other names
Millcreek Medical Arts Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDICAL ASSOCIATES OF ERIE
Authorized official
NICOLE GROSSI (CREDENTIALING SPECIALIST)
(814) 868-2507
Entity
Organization
Contact information
Practice address
5637 PEACH ST, ERIE, PA 16509-2605
(814) 864-0690
(814) 866-5147
Mailing address
1 LECOM PL, ERIE, PA 16505-2571
(814) 868-2507
(814) 868-2522
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
12/09/2020
Last updated
12/09/2020
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