Individual
DR. TIMOTHY QUEZADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
420 E NORTH AVE STE 206, PITTSBURGH, PA 15212-4746
(412) 359-8850
Mailing address
420 E NORTH AVE STE 206, PITTSBURGH, PA 15212-4746
(412) 359-8850
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
OS020709
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14987931
CAQH
—
Enumeration date
06/06/2016
Last updated
12/16/2020
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