Individual
DR. MARIO T PLAZA-PONTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2550 MOSSIDE BLVD, SUITE 105, MONROEVILLE, PA 15146-3530
(412) 373-9580
(412) 373-9582
Mailing address
2550 MOSSIDE BLVD, SUITE 105, MONROEVILLE, PA 15146-3540
(412) 373-9580
(412) 373-9582
Taxonomy
Speciality
Code
Description
License number
State
202K00000X
Phlebology Physician
Primary
MD028210E
PA
208600000X
Surgery Physician
MD028210E
PA
Other
Enumeration date
07/03/2006
Last updated
11/21/2008
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