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NPI Code Detail

MEDICARE: MEDICOR ASSOCIATES, INC.

MEDICARE: MEDICOR ASSOCIATES, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RI0011XInterventional Cardiology PhysicianCARDIOLOGYPA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1215931266
Entity Type Code : Organization
Provider Name (Legal Business Name) : MEDICOR ASSOCIATES, INC.
Provider Business Mailing Address
First Line : 120 E 2ND ST
Second Line : STE 2
City : ERIE
State : PA
Zip : 16507-1537
Country : US
Telephone Number : 814-456-8980
Fax Number : 814-451-0443
Provider Business Practice Location Address
First Line : 120 E 2ND ST
Second Line : STE 2
City : ERIE
State : PA
Zip : 16507-1537
Country : US
Telephone Number : 814-456-8980
Fax Number : 814-451-0443
Authorized Official
Title or Position : CORPORATION PRESIDENT
Name : CHARLES M FURR
Credential : M.D.
Telephone Number : 814-456-8980
Provider Enumeration Date : 06/08/2005
Last Update Date : 04/06/2009

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Directions to “MEDICOR ASSOCIATES, INC. ” Practice Location

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