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NPI Code Detail

MEDICARE: ASA THEODORE CHARNIK

MEDICARE: ASA THEODORE CHARNIK
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered NurseRN804349PA

General Provider Information

NPI Number : 1225986961
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASA THEODORE CHARNIK
Provider Business Mailing Address
First Line : 255 NORTH AVE
Second Line :
City : WASHINGTON
State : PA
Zip : 15301-3512
Country : US
Telephone Number : 724-579-3936
Fax Number :
Provider Business Practice Location Address
First Line : 320 E NORTH AVE
Second Line :
City : PITTSBURGH
State : PA
Zip : 15212-4756
Country : US
Telephone Number : 412-359-3131
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/18/2026
Last Update Date : 03/18/2026

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Directions to “ ASA THEODORE CHARNIK ” Practice Location

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