Provider Demographics
NPI:1548343163
Name:ERIE PHYSICIANS NETWORK, PC
Entity type:Organization
Organization Name:ERIE PHYSICIANS NETWORK, PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN & PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PHILIP
Authorized Official - Middle Name:M
Authorized Official - Last Name:CACCHIONE
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:814-860-3301
Mailing Address - Street 1:7200 PEACH ST UNIT 420
Mailing Address - Street 2:SUMMIT TOWNE CENTRE
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16509-4759
Mailing Address - Country:US
Mailing Address - Phone:814-860-3301
Mailing Address - Fax:814-860-3302
Practice Address - Street 1:7200 PEACH ST UNIT 420
Practice Address - Street 2:SUMMIT TOWNE CENTRE
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16509-4759
Practice Address - Country:US
Practice Address - Phone:814-860-3301
Practice Address - Fax:814-860-3302
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies