Individual
JOICI JOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
200 LOTHROP ST, SUITE 3950, PITTSBURGH, PA 15213-2536
(412) 647-9729
Mailing address
200 LOTHROP ST, SUITE 3950, PITTSBURGH, PA 15213-2536
(412) 647-9729
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
35128833
OH
2085R0202X
Diagnostic Radiology Physician
Primary
MD455450
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/18/2009
Last updated
06/21/2016
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