MEDICARE: JOHN S WARWICK III

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	332BC3200X	Customized Equipment (DME)
2	122300000X	Dentist	025782	PA

General Provider Information

NPI Number	:	1285021899
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JOHN S WARWICK III

Provider Business Mailing Address
First Line	:	500 GRANT ST UPPR LOBBY
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15219-2502
Country	:	US
Telephone Number	:	412-391-1130
Fax Number	:

Provider Business Practice Location Address
First Line	:	500 GRANT ST UPPR LOBBY
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15219-2502
Country	:	US
Telephone Number	:	412-391-1130
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. JOHN S WARWICK III
Credential	:	DMD
Telephone Number	:	412-996-5519

Provider Enumeration Date	:	04/21/2015
Last Update Date	:	04/21/2015

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Directions to “JOHN S WARWICK III ” Practice Location

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