Individual
DR. ELAN JEREMITSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2566 HAYMAKER RD STE 304, MONROEVILLE, PA 15146-3555
(412) 457-0040
Mailing address
2566 HAYMAKER RD STE 304, MONROEVILLE, PA 15146-3555
(412) 457-0040
Taxonomy
Speciality
Code
Description
License number
State
2086S0102X
Surgical Critical Care Physician
257497
MA
2086S0102X
Surgical Critical Care Physician
Primary
MD417574
PA
2086S0127X
Trauma Surgery Physician
MD417574
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11608744
CAQH
—
Enumeration date
04/04/2006
Last updated
10/02/2020
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