Individual
DR. MARY C MCELLISTREM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3601 5TH AVE, FALK CLINIC, SUITE 700, PITTSBURGH, PA 15213-3403
(412) 648-6401
Mailing address
VAPHS; UNIVERSITY DRIVE C, MAILSTOP 130U, PITTSBURGH, PA 15240
(412) 688-6000
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD060961L
PA
Other
Enumeration date
02/16/2006
Last updated
11/29/2012
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