Organization
ERIE MEDICAL SPECIALTY CLINIC, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS MARYBETH MARTIN (MANAGER, CLINICAL ASSISTANT)
(814) 877-5564
Entity
Organization
Contact information
Practice address
104 E 2ND ST, THIRD FLOOR, ERIE, PA 16507-1532
(814) 877-5564
(814) 877-5561
Mailing address
104 E 2ND ST, THIRD FLOOR, ERIE, PA 16507-1532
(814) 877-5564
(814) 877-5561
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD025800E
PA
Other
Enumeration date
03/14/2007
Last updated
08/22/2020
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