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Individual

SHANE FIORENTINI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
2580 HAYMAKER RD STE 102, MONROEVILLE, PA 15146-3500
(412) 858-7766
Mailing address
2580 HAYMAKER RD STE 102, MONROEVILLE, PA 15146-3500
(412) 858-7766

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
363AS0400X
Surgical Physician Assistant
Primary
MA065098
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
16794376
CAQH
Enumeration date
09/14/2023
Last updated
04/28/2026
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