Organization
PITTSBURGH REGENERATIVE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LISA SHULTZ (OFFICE MANAGER)
(412) 372-3772
Entity
Organization
Contact information
Practice address
2686 MONROEVILLE BLVD, MONROEVILLE, PA 15146-2302
(412) 357-2108
Mailing address
2686 MONROEVILLE BLVD, MONROEVILLE, PA 15146-2302
(412) 357-2108
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1730583188
INDIVIDUAL NPI
PA
01
—
1992783229
INDIVIDUAL NPI
OH
Enumeration date
07/13/2020
Last updated
07/13/2020
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