Organization
FAYETTE LUNG AND SLEEP CENTER, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PIERRE K. EDDE M.D. (OWNER)
(723) 439-1800
Entity
Organization
Contact information
Practice address
205 EASY ST, PROFESSIONAL PLAZA I, SUITE 108, UNIONTOWN, PA 15401-3128
(724) 439-1800
(724) 439-0799
Mailing address
205 EASY ST, PROFESSIONAL PLAZA I, SUITE 108, UNIONTOWN, PA 15401-3128
(724) 439-1800
(724) 439-0799
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
—
—
207RP1001X
Pulmonary Disease Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1012512500001
—
PA
01
—
E001
GATEWAY
PA
01
—
V0855B
UPMC
PA
Enumeration date
09/16/2006
Last updated
04/20/2008
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