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NPI Code Detail

MEDICARE: AMY JO DIPLACIDO MD

MEDICARE: AMY JO DIPLACIDO MD
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
1207QG0300XGeriatric Medicine (Family Medicine) PhysicianMD438626PA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11235314428OTHERPANPI

General Provider Information

NPI Number : 1235314428
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMY JO DIPLACIDO MD
Provider Business Mailing Address
First Line : 111 SHERIDAN STREET
Second Line : RENAISSANCE FAMILY PRACTICE
City : PITTSBURGH
State : PA
Zip : 15209-2639
Country : US
Telephone Number : 412-821-2277
Fax Number :
Provider Business Practice Location Address
First Line : 111 SHERIDAN STREET
Second Line : RENAISSANCE FAMILY PRACTICE
City : PITTSBURGH
State : PA
Zip : 15209-2639
Country : US
Telephone Number : 412-821-2277
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/07/2008
Last Update Date : 04/26/2021

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