Individual
DR. JAMI DIAMOND PINCAVITCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
350 BONAR AVENUE, WAYNESBURG, PA 15370
(724) 627-3101
(724) 627-7639
Mailing address
350 BONAR AVENUE, WAYNESBURG, PA 15370
(724) 627-3101
(724) 627-7639
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD418743
PA
208000000X
Pediatrics Physician
MD418743
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019036320001
—
PA
01
—
10923424
AETNA
PA
01
—
136496
THREE RIVERS
PA
01
—
1393136
BCBS
PA
01
—
312927
UPMC
PA
01
—
P004715
GATEWAY
PA
Enumeration date
06/09/2005
Last updated
01/13/2021
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