# PHYSIQUE REGENERATIVE MEDICINE OF PITTSBURGH, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Physique Medical Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598331217
- **Authorized official:** NICOLE BURNS DO (PHYSICIAN AND OWNER)
- **Authorized official phone:** (412) 827-0033

## Contact information

- **Practice address:** 4345 OLD WILLIAM PENN HWY STE B, MURRYSVILLE, PA 15668-1949
- **Practice address phone:** (412) 400-3820
- **Mailing address:** 4345 OLD WILLIAM PENN HWY STE B, MURRYSVILLE, PA 15668-1949
- **Mailing address phone:** (412) 400-3820

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | Yes |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/02/2021
- **Last updated:** 08/13/2022