Individual
MARY CARRASCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1515 LOCUST ST, PITTSBURGH, PA 15219-5131
(412) 232-7200
(412) 232-8830
Mailing address
1515 LOCUST ST, PITTSBURGH, PA 15219-5131
(412) 232-7200
(412) 232-8830
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD019875E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009069990002
—
PA
01
—
417892
HIGHMARK BLUE SHIELD
PA
Enumeration date
02/26/2007
Last updated
07/08/2007
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