Organization
ERIE PHYSICIANS NETWORK PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILIP M CACCHIONE DO (PRESIDENT)
(814) 454-3363
Entity
Organization
Contact information
Practice address
3535 PINE AVE, 1ST FLOOR, ERIE, PA 16504-1743
(814) 456-5469
(814) 453-2698
Mailing address
3535 PINE AVE, 1ST FLOOR, ERIE, PA 16504-1743
(814) 456-5469
(814) 453-2698
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100746851
—
PA
Enumeration date
06/03/2006
Last updated
11/21/2011
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