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HANNA DMOCHOWSKA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
4500 PINE AVE, ERIE, PA 16504-2316
(814) 877-5800
(814) 877-5809
Mailing address
4500 PINE AVE, ERIE, PA 16504-2316
(814) 877-5800
(814) 877-5809

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD053791L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00026080501
UNIVERA
NY
05
0015442120007
PA
01
02149315
NY MEDICAL ASSISTANCE
NY
01
080187044
RR MEDICARE
PA
01
205112
UPMC
PA
01
2224471
OH MEDICAL ASSISTANCE
OH
01
3119426
AETNA
PA
01
65273
UNISON
PA
01
789965
BLUE SHIELD
PA
01
P000092
GATEWAY
PA
Enumeration date
06/20/2005
Last updated
03/18/2013
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