Individual
MR. ERIC SIMINITUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-S
Contact information
Practice address
700 EAST NORWEGIAN STREET, POTTSVILLE, PA 17901-2710
(570) 621-4656
Mailing address
PO BOX 37760, PHILADELPHIA, PA 19101
(800) 355-0808
(610) 834-2862
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA054632
PA
Other
Enumeration date
10/15/2010
Last updated
10/15/2010
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