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PEDIATRIC DERMATOLOGY ASSOCIATES OF ERIE LLC NPI 1174909527


NPI Information

NPI: 1174909527
Provider Name: PEDIATRIC DERMATOLOGY ASSOCIATES OF ERIE LLC
Classification: Dermatology - 207NP0225X
Entity Type: Organization

Specialization: Pediatric Dermatology

Address:
3405 STATE ST
ERIE, PA
ZIP 16508
Phone: (814) 456-7548
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PEDIATRIC DERMATOLOGY ASSOCIATES OF ERIE LLC is a pediatric dermatology dermatology in Erie, PA. The provider is a pediatric dermatologist has, through additional special training, developed expertise in the treatment of specific skin disease categories with emphasis on those diseases which predominate in infants, children and adolescents. PEDIATRIC DERMATOLOGY ASSOCIATES OF ERIE LLC NPI is 1174909527. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3405 STATE ST
ERIE, PA
ZIP 16508-831
Phone: (814) 456-7548
Fax: (814) 456-5037

The provider's authorized official is Wendy Lynn Ripple .
The authorized official title is Physician and has the following contact phone number (814) 456-7548.

The enumeration date for this NPI number is 8/8/2015 and was last updated on 8/8/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207NP0225XDermatologyPediatric DermatologyMD056388LPENNSYLVANIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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