Individual
DR. PAUL D. BIANCULLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3 SHADOW LN, PITTSBURGH, PA 15238-2117
(412) 406-7727
(312) 371-3931
Mailing address
3 SHADOW LN, PITTSBURGH, PA 15238-2117
(412) 406-7727
(412) 371-3931
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
RP 026069 L
PA
183500000X
Pharmacist
RP026069L
PA
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
XD039872L
PA
208600000X
Surgery Physician
MD 039872 L
PA
208600000X
Surgery Physician
Primary
MD039872L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1127013
—
PA
Enumeration date
10/21/2006
Last updated
05/23/2019
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