MEDICARE: MCAULEY MEDICAL ASSOCIATES INC

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
1	173000000X	Legal Medicine

General Provider Information

NPI Number	:	1245235530
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MCAULEY MEDICAL ASSOCIATES INC

Provider Business Mailing Address
First Line	:	1518 FORBES AVE
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15219-5112
Country	:	US
Telephone Number	:	412-232-5546
Fax Number	:	412-232-5548

Provider Business Practice Location Address
First Line	:	1400 LOCUST ST
Second Line	:	STE 5120
City	:	PITTSBURGH
State	:	PA
Zip	:	15219-5114
Country	:	US
Telephone Number	:	412-456-2170
Fax Number	:	412-456-2171

Authorized Official
Title or Position	:	LEAD PHYSICIAN
Name	:	DR. CHARLES E REESE
Credential	:	M.D.
Telephone Number	:	412-232-5546

Provider Enumeration Date	:	06/14/2005
Last Update Date	:	08/22/2020

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