Individual
TIBOR KETZAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
720 BLACKBURN ROAD, SEWICKLEY VALLEY HOSPITAL, SEWICKLEY, PA 15143
(412) 749-7127
(412) 749-4268
Mailing address
720 BLACKBURN ROAD, SEWICKLEY VALLEY HOSPITAL, SEWICKLEY, PA 15143
(412) 749-7127
(412) 749-4268
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MD021936E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0024749
US HEALTHCARE
PA
05
—
0994356
—
PA
01
—
1007226
GATEWAY
PA
01
—
1265992
CIGNA
PA
01
—
159417
HIGHMARK BCS SECURITY BLU
PA
01
—
23215676400
OHIO WORKERS COMP
OH
01
—
23215676400
HEALTH ASSURANCE
PA
01
—
23215676400
W VIRGINIA WORKERS COMP
WV
01
—
5803
HEALTH ASSURANCE ADVANTRA
PA
01
—
P003957
CHAMPUS
PA
Enumeration date
07/30/2006
Last updated
07/08/2007
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