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Individual

DANIEL SCOTT TELEGA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
2910 STATE STREET, ERIE, PA 16508-4747
(814) 454-5686
Mailing address
2185 W 8TH ST, ERIE, PA 16505-4747
(888) 453-5806

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
MA002307L
PA
363A00000X
Physician Assistant
Primary
OA000305L
PA

Other

Enumeration date
01/09/2013
Last updated
01/18/2017
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