Individual
DR. JOANN BEVILACQUA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
411 E MAIN ST, CARNEGIE, PA 15106-2048
(412) 279-3557
(412) 279-4357
Mailing address
411 E MAIN ST, CARNEGIE, PA 15106-2048
(412) 279-3557
(412) 279-4357
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
SC-000653L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00504099
—
PA
Enumeration date
12/14/2005
Last updated
11/19/2009
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