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NPI Code Detail

MEDICARE: SAM D VERDI PA-C

MEDICARE: SAM D VERDI PA-C
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
1363A00000XPhysician AssistantMA001129LPA

General Provider Information

NPI Number : 1346240397
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAM D VERDI PA-C
Provider Business Mailing Address
First Line : 333 STATE ST STE 103
Second Line :
City : ERIE
State : PA
Zip : 16507-1450
Country : US
Telephone Number : 814-877-7157
Fax Number : 814-877-2844
Provider Business Practice Location Address
First Line : 100 FAIRFIELD DR
Second Line :
City : SENECA
State : PA
Zip : 16346-2130
Country : US
Telephone Number : 814-676-7932
Fax Number : 814-676-7975
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/29/2005
Last Update Date : 05/02/2019

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Directions to “ SAM D VERDI PA-C” Practice Location

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