THE PENNSYLVANIA STATE UNIVERSITY

NPI # 

Practice Address:

4701 College Dr

Erie, PA, 16563-4117

Practice Phone:

814-898-6217

Practice Fax:

814-898-6924

License Number:

MD026142E

License State:

PA

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Code:

261Q00000X