MEDICARE: DR. LOUIS HENRY MARTONE M.D.

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	207N00000X	Dermatology Physician	MD012712E	PA

General Provider Information

NPI Number	:	1770584815
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LOUIS HENRY MARTONE M.D.

Provider Business Mailing Address
First Line	:	100 DELAFIELD RD
Second Line	:	SUITE 202
City	:	PITTSBURGH
State	:	PA
Zip	:	15215-3247
Country	:	US
Telephone Number	:	412-782-2302
Fax Number	:	412-782-6381

Provider Business Practice Location Address
First Line	:	100 DELAFIELD RD
Second Line	:	SUITE 202
City	:	PITTSBURGH
State	:	PA
Zip	:	15215-3247
Country	:	US
Telephone Number	:	412-782-2302
Fax Number	:	412-782-6381

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

Provider Enumeration Date	:	08/10/2005
Last Update Date	:	06/10/2010

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