Organization
EPN HAMOT URGENT CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILIP M CACCHIONE DO (PRESIDENT)
(814) 454-3363
Entity
Organization
Contact information
Practice address
7200 PEACH ST, UNIT 420, ERIE, PA 16509-4754
(814) 860-3301
(814) 860-3302
Mailing address
3535 PINE AVE, ERIE, PA 16504-1743
(814) 456-5469
(814) 453-2698
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
2083X0100X
Occupational Medicine Physician
—
—
Other
Enumeration date
04/13/2010
Last updated
04/13/2010
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