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NPI Code Detail

MEDICARE: SAINT VINCENT MEDICAL EDUCATION AND RESEARCH INSTITUTE

MEDICARE: SAINT VINCENT MEDICAL EDUCATION AND RESEARCH INSTITUTE
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
1207Q00000XFamily Medicine Physician

General Provider Information

NPI Number : 1467548842
Entity Type Code : Organization
Provider Name (Legal Business Name) : SAINT VINCENT MEDICAL EDUCATION AND RESEARCH INSTITUTE
Provider Business Mailing Address
First Line : 3530 PEACH ST
Second Line : SUITE LL1
City : ERIE
State : PA
Zip : 16508-2768
Country : US
Telephone Number : 814-860-5036
Fax Number : 814-860-5063
Provider Business Practice Location Address
First Line : 130 N MAIN ST
Second Line :
City : UNION CITY
State : PA
Zip : 16438-1068
Country : US
Telephone Number : 814-438-7208
Fax Number : 814-438-8062
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : PATRICIA BALLMAN
Credential :
Telephone Number : 814-452-5296
Provider Enumeration Date : 10/05/2006
Last Update Date : 11/02/2010

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Directions to “SAINT VINCENT MEDICAL EDUCATION AND RESEARCH INSTITUTE ” Practice Location

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