Individual
MARK DAVID VANDERBILT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4800 FRIENDSHIP AVE, PITTSBURGH, PA 15224-1722
(412) 359-6656
(412) 359-6653
Mailing address
4800 FRIENDSHIP AVE, PITTSBURGH, PA 15224-1722
(412) 359-6656
(412) 359-6653
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
MD 046732 L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012839580001
—
PA
05
—
217529000
—
WV
05
—
2199857
—
OH
Enumeration date
04/20/2006
Last updated
11/05/2015
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