Individual
MARYBETH CERMAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
300 STATE ST, SUITE 205, ERIE, PA 16507-1427
(814) 456-6022
(814) 456-7040
Mailing address
300 STATE ST, SUITE 205, ERIE, PA 16507-1427
(814) 456-6022
(814) 456-7040
Taxonomy
Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
15185
WV
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
MD043782E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0001203483001
—
PA
Enumeration date
07/21/2006
Last updated
07/08/2007
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