MEDICARE: GENE W. MANZETTI, M.D, P.C.

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	174400000X	Specialist	MD015124E	PA

General Provider Information

NPI Number	:	1346335858
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GENE W. MANZETTI, M.D, P.C.

Provider Business Mailing Address
First Line	:	850 CLAIRTON BLVD
Second Line	:	SUITE 2300
City	:	PITTSBURGH
State	:	PA
Zip	:	15236
Country	:	US
Telephone Number	:	412-469-2700
Fax Number	:	412-466-7010

Provider Business Practice Location Address
First Line	:	850 CLAIRTON BLVD
Second Line	:	SUITE 2300
City	:	PITTSBURGH
State	:	PA
Zip	:	15236
Country	:	US
Telephone Number	:	412-469-2700
Fax Number	:	412-466-7010

Authorized Official
Title or Position	:	PRESIDENT
Name	:	GENE W MANZETTI
Credential	:	M.D.
Telephone Number	:	412-469-2700

Provider Enumeration Date	:	10/03/2006
Last Update Date	:	04/13/2016

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