Individual
CARLOS ANDRES NIETO FONSECA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 LOTHROP ST, PITTSBURGH, PA 15213-2536
(570) 259-7944
Mailing address
10 ALLEGHENY CTR APT 805, PITTSBURGH, PA 15212-5225
(570) 259-7944
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD440423
PA
207R00000X
Internal Medicine Physician
Primary
MT191305
PA
Other
Enumeration date
05/29/2008
Last updated
08/26/2010
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