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Individual

DR. BETH RENEE GUSENOFF

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPM

Contact information

Practice address
5701 CENTRE AVE, SUITE L1, PITTSBURGH, PA 15206-3744
(412) 361-3668
(412) 361-4207
Mailing address
5701 CENTRE AVE, SUITE L1, PITTSBURGH, PA 15206-3744
(412) 361-3668
(412) 361-4207

Taxonomy

Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
005650
NY
213ES0131X
Foot Surgery Podiatrist
Primary
SC006330
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02059263
NY
Enumeration date
01/10/2007
Last updated
08/31/2012
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