MEDICARE: FERMIN CALDERON-DUJARRIC 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	207RI0200X	Infectious Disease Physician	MD446151	PA
2	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	MD446151	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1851319768
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FERMIN CALDERON-DUJARRIC M.D.

Provider Business Mailing Address
First Line	:	490 E NORTH AVE
Second Line	:	SUITE 305
City	:	PITTSBURGH
State	:	PA
Zip	:	15212-4741
Country	:	US
Telephone Number	:	412-442-2505
Fax Number	:	412-321-1627

Provider Business Practice Location Address
First Line	:	490 E NORTH AVE
Second Line	:	SUITE 305
City	:	PITTSBURGH
State	:	PA
Zip	:	15212-4741
Country	:	US
Telephone Number	:	412-442-2505
Fax Number	:	412-321-1627

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

Provider Enumeration Date	:	07/18/2006
Last Update Date	:	11/03/2023

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Directions to “ FERMIN CALDERON-DUJARRIC M.D.” Practice Location

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