Individual
COLIN FITZGERALD SLEMENDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
575 COAL VALLEY RD STE 570, JEFFERSON HILLS, PA 15025-3729
(412) 697-6604
(412) 469-7547
Mailing address
575 COAL VALLEY RD STE 570, JEFFERSON HILLS, PA 15025-3729
(124) 697-6604
(412) 469-7547
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
OS020182
PA
207RI0011X
Interventional Cardiology Physician
Primary
OS020182
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103241780
—
PA
01
—
1E0054
MEDICARE
PA
01
—
6507387
AETNA PIN
PA
Enumeration date
06/26/2013
Last updated
08/21/2024
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