Organization
JOHN J DISTAZIO, D.P.M., P.C.
Active
Other names
John J DiStazio, D.P.M.,P.C.
Organization subpart
No
Provider details
NPI number
Authorized official
JANICE SHEVLIN (ADMINISTRATIVE ASSISTANT)
(412) 461-1108
Entity
Organization
Contact information
Practice address
640 RODI RD, PITTSBURGH, PA 15235-4512
(412) 731-5500
(412) 731-5548
Mailing address
495 E WATERFRONT DR STE 230, HOMESTEAD, PA 15120-1151
(412) 461-1108
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
05/02/2018
Last updated
05/02/2018
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