Individual
GREGORY ROSCOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1301 BEAVER AVE, PITTSBURGH, PA 15233-2342
(412) 478-6736
Mailing address
1301 BEAVER AVE, PITTSBURGH, PA 15233-2342
(412) 478-6736
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
81-2826531
NPI
PA
Enumeration date
06/03/2016
Last updated
06/03/2016
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