Individual
MAUREEN M BIDULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2570 HAYMAKER RD, DEPARTMENT OF RADIOLOGY, MONROEVILLE, PA 15146-3513
(412) 858-2343
(412) 373-0861
Mailing address
400 PENN CENTER BLVD, SUITE 555, PITTSBURGH, PA 15235-5610
(412) 829-7288
(412) 829-1310
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD024341E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010295130020
—
PA
01
—
0013685000
INDEPENDENCE BLUE CROSS
PA
01
—
BI467455
HIGHMARK
PA
Enumeration date
10/03/2005
Last updated
10/14/2016
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