Healthcare Provider Details

I. General information

NPI: 1871916817
Provider Name (Legal Business Name): SAINT VINCENT MEDICAL EDUCATION AND RESEARCH INSTITUTE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/28/2014
Last Update Date: 01/28/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3580 PEACH ST SUITE 103A
ERIE PA
16508-2776
US

IV. Provider business mailing address

3580 PEACH ST SUITE 103A
ERIE PA
16508-2776
US

V. Phone/Fax

Practice location:
  • Phone: 814-864-4755
  • Fax: 814-864-5430
Mailing address:
  • Phone: 814-864-4755
  • Fax: 814-864-5430

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number
License Number State

VIII. Authorized Official

Name: THOMAS T MURPHY
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 814-452-5216