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Erie Physicians Network- Upmc Inc — NPI 1629340609, Erie, PA | NPI Central

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NPI 1629340609

OrganizationActive

Erie Physicians Network- Upmc Inc

NPI 1629340609 · Non-Pharmacy Dispensing Site · Erie, PA

Provider details

NPI number: 1629340609
Entity type: Organization
Primary specialty: Non-Pharmacy Dispensing SiteSuppliers
Parent organization: Medvantx, Inc.
Organization subpart: Yes
Authorized official: Kenny Heine, Vp of Operations(858) 964-1506
License: OS005969L (PA)

Specialties & taxonomies

Non-Pharmacy Dispensing SitePrimary332900000XLicense OS005969L (PA)
Suppliers

Practice location

3535 Pine Ave

Ste 1

Erie, PA 16504-1743

Phone: (814) 454-3363

Approximate (ZIP-level) locationGet directions

More PA providers

Mailing address

5626 Oberlin Dr

San Diego, CA 92121-1705

Other names (DBA / former)

Doing business as: Pinecrest Family Practice (pine Avenue)

Registry dates

Enumerated: 2012-02-06
Last updated: 2013-05-23

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.