Individual
MICHELLE M MOURIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
420 E NORTH AVE STE 304, PITTSBURGH, PA 15212-4746
(412) 359-4068
(412) 359-6732
Mailing address
420 E NORTH AVE STE 304, PITTSBURGH, PA 15212-4746
(412) 359-4068
(412) 359-6732
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
M-2074
GU
208600000X
Surgery Physician
Primary
MD448564
PA
208600000X
Surgery Physician
MTL-2017-073
GU
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102819400
—
PA
Enumeration date
08/09/2008
Last updated
07/23/2019
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