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Individual

AVITAL S GOLDWASSER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
N.P.

Contact information

Practice address
2619 TILBURY AVE, PITTSBURGH, PA 15217-2514
(301) 254-4912
Mailing address
2619 TILBURY AVE, PITTSBURGH, PA 15217-2514
(301) 254-4912

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
SP017318
PA

Other

Enumeration date
05/04/2017
Last updated
05/04/2017
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