MEDICARE: JEROME WATTS JR. MD

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	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1902691751
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JEROME WATTS JR. MD

Provider Business Mailing Address
First Line	:	3600 FORBES AVENUE
Second Line	:	FORBES TOWER PLAZA LEVEL SUITE 140
City	:	PITTSBURGH
State	:	PA
Zip	:	15213
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1622 LOCUST STREET
Second Line	:	MERCY PAVILION 4TH FLOOR REHAB INSTITUTE
City	:	PITTSBURGH
State	:	PA
Zip	:	15219
Country	:	US
Telephone Number	:	412-232-8901
Fax Number	:

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

Provider Enumeration Date	:	04/11/2025
Last Update Date	:	05/27/2026

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