Eastside Medical Center

NPI 1023263415 - Non-Pharmacy Dispensing Site - 332900000X

NPI Details
NPI 1023263415
Enumeration Date 11/26/2008
Last Updated 10/23/2012
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name KENNY KENNY
Position DIRECTOR OF OPERATIONS
Phone (814) 452-6383
Fax
Practice Location
2625 PARADE ST
ERIE PA, 16504-2809, US
Phone (814) 452-6383
Fax
Business Location
5626 OBERLIN DR
SUITE 110
SAN DIEGO CA, 92121-1705, US
Phone
Fax
Toxanomy
Taxonomy Code 332900000X
License State Pennsylvania
License Number OS004474L
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According to our database, Eastside Medical Center NPI is 1023263415, taxonomy code is 332900000X and license number is OS004474L, license state is located at Pennsylvania. Eastside Medical Center physically located at 2625 Parade St, Erie PA, 16504-2809. NPI Number 1033115704 has the healthcare provider type.

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1023263415 NPI number is provided on an as is basis without warranty of any kind. 1023263415 is maintained by the National Plan & Provider Enumeration System. The contents of Eastside Medical Center are for informational purposes only.