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NPI Code Detail

MEDICARE: DR. JAMES PATRICK O'TOOLE M.D.

MEDICARE: DR. JAMES PATRICK O'TOOLE 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
1208200000XPlastic Surgery PhysicianMD421397PA

General Provider Information

NPI Number : 1790936631
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JAMES PATRICK O'TOOLE M.D.
Provider Business Mailing Address
First Line : 5830 ELLSWORTH AVE
Second Line : SUITE 300
City : PITTSBURGH
State : PA
Zip : 15232-1778
Country : US
Telephone Number : 412-345-1615
Fax Number : 412-345-1613
Provider Business Practice Location Address
First Line : 5830 ELLSWORTH AVE
Second Line : SUITE 300
City : PITTSBURGH
State : PA
Zip : 15232-1778
Country : US
Telephone Number : 412-345-1615
Fax Number : 412-345-1613
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/09/2008
Last Update Date : 11/21/2014

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