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General NPI Number Information
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NPI Number | 1114238458
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Entity Type | Individual
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Provider Name | CHARIS A VENDITTI MD
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Gender | Female
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Dates
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Enumeration Date | 06/30/2010
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Last Update Date | 11/20/2024
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Provider Practice Location Address
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Address Line | 2315 MYRTLE ST STE 290
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City | ERIE
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State | PA
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Zip | 16502-4609
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Country | US
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Telephone | 814-879-6636
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Fax | 814-452-5015
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Provider Business Mailing Address
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Address Line | 2315 MYRTLE ST STE 290
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City | ERIE
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State | PA
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Zip | 16502-4609
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Country | US
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Telephone | 814-879-6636
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Fax | 814-452-5015
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086X0206X
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Taxonomy Name | Surgical Oncology Physician
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License Number | MD452185
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | MD452185
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License Number State | PA
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