Organization
ALLEGHENY CLINIC
Active
Other names
Lake Erie Obstetrics & Gynecology
Organization subpart
No
Provider details
NPI number
Authorized official
CECILI R JONES (ANALYST)
(412) 330-4813
Entity
Organization
Contact information
Practice address
2501 W 12TH ST, SUITE 10, ERIE, PA 16505-4527
(814) 314-0072
(814) 314-0323
Mailing address
2501 W 12TH ST, SUITE 10, ERIE, PA 16505-4527
(814) 314-0072
(814) 314-0323
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100731714
—
PA
Enumeration date
09/13/2013
Last updated
04/08/2014
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