Individual
DOMENICK E. DIRICO, JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
320 E NORTH AVE, PITTSBURGH, PA 15212-4756
(412) 359-3131
Mailing address
320 E NORTH AVE, PITTSBURGH, PA 15212-4756
(412) 359-3131
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD044470E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016375630008
—
PA
05
—
1841455000
—
WV
05
—
2365266
—
OH
Enumeration date
02/10/2006
Last updated
10/19/2007
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