Organization
TIBOR KETZAN, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIBOR KETZAN M.D. (PRESIDENT)
(412) 749-7127
Entity
Organization
Contact information
Practice address
720 BLACKBURN RD, SEWICKLEY, PA 15143-1459
(412) 749-7127
Mailing address
720 BLACKBURN RD, SEWICKLEY, PA 15143-1459
(412) 749-7127
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MD021936E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001953133
HIGHMARK
PA
01
—
0024749
US HEALTHCARE
PA
05
—
00994356
—
PA
01
—
1007226
GATEWAY
PA
01
—
159417
BLUE CROSS SHIELD HIGHMAR
PA
01
—
5803
HEALTH AMERICA
PA
Enumeration date
03/28/2007
Last updated
03/14/2016
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