Individual
FREDERICK L PORKOLAB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4727 FRIENDSHIP AVE, STE 180, PITTSBURGH, PA 15224-1779
(412) 235-5881
(412) 235-5878
Mailing address
2781 LEECHBURG RD, LOWER BURRELL, PA 15068
(724) 226-3345
(724) 226-2415
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
MD016838E
PA
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
MD016838E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006875420
—
PA
05
—
0006875420002
—
PA
05
—
0006875420007
—
PA
05
—
0085813000
—
WV
05
—
0639027
—
OH
Enumeration date
03/22/2006
Last updated
01/05/2011
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