Healthcare Provider Details

I. General information

NPI: 1366732273
Provider Name (Legal Business Name): MAGGIE ROSE JARMOLOWICZ D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/12/2011
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2928 PEACH ST
ERIE PA
16508-1843
US

IV. Provider business mailing address

450 ERIE ST
EDINBORO PA
16412-2200
US

V. Phone/Fax

Practice location:
  • Phone: 814-453-6229
  • Fax: 814-456-3731
Mailing address:
  • Phone: 814-734-1618
  • Fax: 814-734-3102

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberOS016571
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: