Individual
DR. TIBERIU F BODEACRISAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3811 OHARA ST, SUITE 1135-E, PITTSBURGH, PA 15213-2593
(412) 624-1000
Mailing address
3811 OHARA ST, SUITE 1135-E, PITTSBURGH, PA 15213-2593
(412) 624-1000
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD420275
PA
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
MD420275
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101055820
—
PA
Enumeration date
02/03/2006
Last updated
05/20/2013
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