MEDICARE: DR. WAYNE LUDKIEWICZ 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
1	207P00000X	Emergency Medicine Physician	MD030009E	PA

General Provider Information

NPI Number	:	1265481014
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WAYNE LUDKIEWICZ MD

Provider Business Mailing Address
First Line	:	2 HOT METAL ST
Second Line	:	ERMI QUANTUM ONE
City	:	PITTSBURGH
State	:	PA
Zip	:	15203-2348
Country	:	US
Telephone Number	:	412-432-7424
Fax Number	:

Provider Business Practice Location Address
First Line	:	2 HOT METAL ST
Second Line	:	ERMI QUANTUM ONE
City	:	PITTSBURGH
State	:	PA
Zip	:	15203-2348
Country	:	US
Telephone Number	:	412-432-7424
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/09/2006
Last Update Date	:	07/08/2007

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