Provider Demographics
NPI:1932884640
Name:COBA RAMIREZ, CATHERINE (DO)
Entity Type:Individual
Prefix:DR
First Name:CATHERINE
Middle Name:
Last Name:COBA RAMIREZ
Suffix:
Gender:F
Credentials:DO
Other - Prefix:DR
Other - First Name:CATHERINE
Other - Middle Name:
Other - Last Name:ISKRENKO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:531 VERMONT AVE
Mailing Address - Street 2:
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16505-2337
Mailing Address - Country:US
Mailing Address - Phone:865-216-5023
Mailing Address - Fax:
Practice Address - Street 1:5515 PEACH ST
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16509-2695
Practice Address - Country:US
Practice Address - Phone:814-868-8294
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-20
Last Update Date:2023-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOT022776207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine