Provider Demographics
NPI:1629195912
Name:THE CENTER FOR BREAST HEALTH
Entity Type:Organization
Organization Name:THE CENTER FOR BREAST HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIELLE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:DUCHINI
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:814-449-1172
Mailing Address - Street 1:4601 KOEHLER RD
Mailing Address - Street 2:
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16510-4009
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3211 LIBERTY ST
Practice Address - Street 2:SUITE 302
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16508-2575
Practice Address - Country:US
Practice Address - Phone:814-449-1172
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS-010803-L2086X0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086X0206XAllopathic & Osteopathic PhysiciansSurgerySurgical OncologyGroup - Single Specialty