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Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
5171 LIBERTY AVE, PITTSBURGH, PA 15224-2254
(412) 683-4550
Mailing address
5171 LIBERTY AVE, PITTSBURGH, PA 15224-2254
(412) 683-4550

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA051251
PA

Other

Enumeration date
01/18/2007
Last updated
08/16/2016
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