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Organization
C.CHARLES IANNUZZI,M.D.,PC
Active
Organization
C.CHARLES IANNUZZI,M.D.,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. C. CHARLES IANNUZZI M.D. (PRESIDENT)
(412) 531-5759
Entity
Organization
Contact information
Practice address
2115 NOBLE ST, PITTSBURGH, PA 15218-2513
(412) 351-5313
Mailing address
764 SCRUBGRASS RD, PITTSBURGH, PA 15243-1124
(412) 531-5759
(412) 571-1516
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
NULL
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000651568 0002
—
PA
Enumeration date
10/20/2009
Last updated
10/20/2009
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