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Organization

PENNWOOD OPHTHALMIC ASSOCIATES, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KATHERINE CORMAN ERLICHMAN D.O. (PRESIDENT/OPHTHALMOLOGY)
(814) 623-1969
Entity
Organization

Contact information

Practice address
311 HOSPITAL DR, EVERETT, PA 15537-7022
(814) 623-1969
(814) 623-5590
Mailing address
311 HOSPITAL DR, EVERETT, PA 15537-7022
(814) 623-1969
(814) 623-5590

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0011646070005
PA
05
0012470110004
PA
05
0016242330004
PA
01
172307
BCBS GROUP
PA
01
172508
BCBS GROUP DR SHUKE
PA
01
CB2806
RAILROAD MCARE GROUP
PA
Enumeration date
04/11/2006
Last updated
02/08/2023
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