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Individual

MR. DOUGLAS PAUL GANASSI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MED - EX. SCI., ATC,

Contact information

Practice address
1750 CLAIRTON ROAD, ROUTE 885, CCAC - SOUTH CAMPUS, WEST MIFFLIN, PA 15122-3097
(412) 469-1100
(412) 469-6254
Mailing address
800 ALLEGHENY AVENUE, CCAC, PITTSBURGH, PA 15233-1895
(412) 237-3121
(412) 237-3135

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
AT000369
GA
2255A2300X
Athletic Trainer
Primary
RT002222A
PA

Other

Enumeration date
06/11/2012
Last updated
12/02/2013
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