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Contact Information

PENN NORTH CENTERS FOR ADVANCED WOUND CARE PC
232 W 25TH ST
ERIE, PA16544-0002
 Phone: 814-452-7878
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
 

Undersea and Hyperbaric Medicine

2083P0011X 84 Physician/Preventive Medicine
Indicates primary specialty

NPI Profile & details for PENN NORTH CENTERS FOR ADVANCED WOUND CARE PC

NPI Number 1003897307
LBN Legal business name PENN NORTH CENTERS FOR ADVANCED WOUND CARE PC
Authorized official THOMAS SERENA - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 11/14/2005
Last updated 09/11/2008 - About 18 years ago
Identifiers
PA Medicaid 100964725
Other DC2954 RAILROAD MEDICARE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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