Organization
ORTHOPAEDIC & SPORTS MEDICINE OF ERIE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHARLENE A KELLERMAN (PRACTICE ADMINISTRATOR)
(814) 454-8287
Entity
Organization
Contact information
Practice address
100 PEACH ST, SUITE 400, ERIE, PA 16507-1411
(814) 454-8287
(814) 454-8470
Mailing address
100 PEACH ST, SUITE 400, ERIE, PA 16507-1411
(814) 454-8287
(814) 454-8470
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012321260002
—
PA
Enumeration date
04/05/2006
Last updated
04/13/2010
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