Healthcare Provider Details

I. General information

NPI: 1538582846
Provider Name (Legal Business Name): THE CENTER FOR BREAST HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/23/2014
Last Update Date: 01/23/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

311 W 24TH ST SUITE 306
ERIE PA
16502-2665
US

IV. Provider business mailing address

311 W 24TH ST SUITE 306
ERIE PA
16502-2665
US

V. Phone/Fax

Practice location:
  • Phone: 814-836-8860
  • Fax: 814-314-0057
Mailing address:
  • Phone: 814-836-8860
  • Fax: 814-314-0057

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086X0206X
TaxonomySurgical Oncology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. DANIELLE MARIE DUCHINI
Title or Position: OWNER DOCTOR
Credential: DO
Phone: 814-836-8860