Individual
DR. JEROME M ITZKOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5200 CENTRE AVE, SUITE 710, PITTSBURGH, PA 15232-1300
(412) 621-5000
(412) 621-1804
Mailing address
5200 CENTRE AVE, SUITE 710, PITTSBURGH, PA 15232-1300
(412) 621-5000
(412) 621-1804
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD 020427-E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000066228
UNISON HEALTH PLAN
PA
05
—
00114147190006
—
PA
01
—
0012138000
INDEPENDENT BLUE SHIELD
PA
01
—
1013041
GATEWAY HEALTH PLAN
PA
01
—
102465
UPMC FOR YOU
PA
01
—
65990
FIRST HEALTH
PA
Enumeration date
05/22/2006
Last updated
11/01/2007
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