Organization
MEDICAL ASSOCIATES OF ERIE
Active
Other names
LECOM Health Orthopedics & Pain Management
Organization subpart
No
Provider details
NPI number
Authorized official
JEAN NEJMAN (CREDENTIALING SPECIALIST)
(814) 868-2507
Entity
Organization
Contact information
Practice address
5401 PEACH ST STE 3300, ERIE, PA 16509-2601
(814) 868-7840
(814) 868-2139
Mailing address
1 LECOM PL, ERIE, PA 16505-2571
(814) 528-9732
(814) 528-9722
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
207X00000X
Orthopaedic Surgery Physician
Primary
OS08877L
PA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1010664580001
—
PA
Enumeration date
04/30/2009
Last updated
12/05/2023
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