Healthcare Provider Details

I. General information

NPI: 1760449987
Provider Name (Legal Business Name): PETER CHARLES SCIARRINO MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/01/2006
Last Update Date: 03/19/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 STATE ST SUITE 301H
ERIE PA
16507-1427
US

IV. Provider business mailing address

300 STATE ST SUITE 301H
ERIE PA
16507-1427
US

V. Phone/Fax

Practice location:
  • Phone: 814-877-5700
  • Fax: 814-877-5655
Mailing address:
  • Phone: 814-877-5700
  • Fax: 814-877-5655

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberMD433395
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code208800000X
TaxonomyUrology Physician
License NumberMD433395
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: