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Individual

RICARDO MITRE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1307 FEDERAL ST, SUITE B100, PITTSBURGH, PA 15212-4769
(412) 359-8900
(412) 359-8977
Mailing address
1307 FEDERAL ST, SUITE B100, PITTSBURGH, PA 15212-4769
(412) 359-8900
(412) 359-8977

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MD032806L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000736905
PA
05
0285267
OH
05
3810015486
WV
Enumeration date
07/05/2006
Last updated
03/14/2017
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