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Individual

DR. CHARLES PERROTTA JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
PRESQUE ISLE MIND-BODY WELLNESS CENTER, 2500 PALERMO DR. SUITE 2, ERIE, PA 16506
(814) 860-3179
(814) 615-7400
Mailing address
PRESQUE ISLE MIND-BODY WELLNESS CENTER, 2500 PALERMO DR. SUITE 2, ERIE, PA 16506
(814) 860-3179
(814) 615-7400

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
MD042761L
PA
2084P0800X
Psychiatry Physician
MD-042761-L
PA
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
MD-042761-L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001937185
PA
Enumeration date
02/20/2006
Last updated
11/08/2019
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