Organization
NEUROLOGIC THERAPEUTICS OF PITTSBURGH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL JOHN TOMETSKO (OWNER)
(412) 527-1017
Entity
Organization
Contact information
Practice address
2790 MOSSIDE BLVD STE 700, MONROEVILLE, PA 15146-2761
(412) 527-1017
Mailing address
4530 WILLIAM PENN HWY, PMB 108, MURRYSVILLE, PA 15668
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1598761025
—
PA
05
—
1902954605
—
PA
Enumeration date
10/31/2022
Last updated
10/31/2022
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