Individual
LARRY P MCNULTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
147 TOWNE SQUARE WAY, BRENTWOOD TOWNE SQUARE, PITTSBURGH, PA 15227-3254
(412) 942-1085
(412) 865-3035
Mailing address
147 TOWNE SQUARE WAY, BRENTWOOD TOWNE SQUARE, PITTSBURGH, PA 15227-3254
(412) 942-1085
(412) 865-3035
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD032820E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0014820850030
—
PA
05
—
2850982
—
OH
05
—
3810011653
—
WV
Enumeration date
05/20/2006
Last updated
11/13/2012
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