Basic Information
| Provider Information | |||||||||
| NPI: | 1538431184 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | MURILLO | ||||||||
| FirstName: | MONIKA | ||||||||
| MiddleName: | ANDREA | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 320 E NORTH AVE | ||||||||
| Address2: | |||||||||
| City: | PITTSBURGH | ||||||||
| State: | PA | ||||||||
| PostalCode: | 152124756 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 5401 PEACH ST STE 3500 | ||||||||
| Address2: | |||||||||
| City: | ERIE | ||||||||
| State: | PA | ||||||||
| PostalCode: | 165092601 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8148682179 | ||||||||
| FaxNumber: | 8148682346 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/29/2012 | ||||||||
| LastUpdateDate: | 11/28/2017 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208M00000X | MD453342 | PA | N | Allopathic & Osteopathic Physicians | Hospitalist | 207RI0200X | MD453342 | PA | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Infectious Disease |
No ID Information.