Individual
ANTONIO S SIMORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1330 W 26TH ST, ERIE, PA 16508-1402
(814) 459-9300
(814) 454-7780
Mailing address
1330 W 26TH ST, ERIE, PA 16508-1402
(814) 459-9300
(814) 454-7780
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
OS013993
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102276861 0003
—
PA
05
—
1022768610001
—
PA
01
—
1946410
HIGHMARK
—
Enumeration date
11/15/2006
Last updated
04/01/2021
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