Organization
MEDICAL ASSOCIATES OF ERIE
Active
Parent organization
MEDICAL ASSOCIATES OF ERIE, INC.
Other names
LECOM Institute for Successful Living
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDICAL ASSOCIATES OF ERIE, INC.
Authorized official
JEAN NEJMAN (CREDENTIALING SPECIALIST)
(814) 868-2507
Entity
Organization
Contact information
Practice address
5401 PEACH ST STE 3400, ERIE, PA 16509-2601
(814) 868-2200
(814) 868-2138
Mailing address
1 LECOM PL, ERIE, PA 16505-2571
(814) 868-2507
(814) 868-2522
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
—
—
207RI0011X
Interventional Cardiology Physician
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
Other
Enumeration date
09/22/2020
Last updated
12/05/2023
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