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Organization

VILLAGE SURGICENTER, LIMITED PARTNERSHIP

Active
Other names
Village SurgiCenter of Erie
Organization subpart
No

Provider details

NPI number
Authorized official
JENNIFER B. BALDOCK (OFFICER AND AUTHORIZED OFFICIAL)
(615) 234-5954
Entity
Organization

Contact information

Practice address
5473 VILLAGE COMMON DR, STE 100, ERIE, PA 16506-4961
(814) 836-0770
(814) 836-0771
Mailing address
5473 VILLAGE COMMON DR, STE 100, ERIE, PA 16506-4961
(814) 836-0770
(814) 836-0771

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
11001500
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0017687800002
PA
Enumeration date
06/15/2005
Last updated
02/17/2023
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