Individual
MARK M. BLATTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1580 MCLAUGHLIN RUN RD, PINE BRIDGE COMMONS, STE 208, PITTSBURGH, PA 15241
(412) 221-2121
(412) 221-7224
Mailing address
150 LANCASTER AVE, PINE BRIDGE COMMONS, STE 208, PITTSBURGH, PA 15228-2354
(412) 221-2121
(412) 221-7224
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD014437E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000705032000
—
PA
Enumeration date
07/18/2005
Last updated
02/20/2016
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