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Individual

GEORGE J VILUSHIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
3580 PEACH ST, ERIE, PA 16508-2776
(814) 868-9633
(814) 866-1436
Mailing address
11279 PERRY HWY, STE 450, WEXFORD, PA 15090-9303
(724) 933-1100
(724) 933-1160

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
OS003551L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0006094570003
PA
Enumeration date
05/23/2005
Last updated
07/08/2007
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