Individual
MR. MICHAEL TALOTTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4815 LIBERTY AVE STE 154, PITTSBURGH, PA 15224-2156
(412) 578-4003
(412) 578-4011
Mailing address
4815 LIBERTY AVE STE 154, PITTSBURGH, PA 15224-2156
(412) 578-4003
(412) 578-4011
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA055254
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA055254
LICENSE
PA
Enumeration date
10/19/2011
Last updated
10/05/2020
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