Individual
DR. JOHN M PRENDERGAST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1350 LOCUST ST, STE G102 BUILDING C, PITTSBURGH, PA 15219-4738
(412) 232-8494
(412) 232-8727
Mailing address
1350 LOCUST ST, SUITE G102, PITTSBURGH, PA 15219-4738
(412) 232-8494
(412) 232-8727
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
MD038722E
PA
173000000X
Legal Medicine
—
—
174400000X
Specialist
Primary
MD038722E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001099400
—
PA
Enumeration date
03/23/2006
Last updated
09/13/2011
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