Individual
JOHN THEODORE HARETOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
160 N CRAIG ST, PITTSBURGH, PA 15213-2716
(412) 621-3431
(412) 621-0878
Mailing address
160 N CRAIG ST, PITTSBURGH, PA 15213-2716
(412) 621-3431
(412) 621-0878
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
MD028204E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0001006134
—
PA
Enumeration date
12/11/2006
Last updated
07/08/2007
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