Healthcare Provider Details

I. General information

NPI: 1427025667
Provider Name (Legal Business Name): DR. NOTARO-DR. SHETTY AND ASSOCIATES, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/07/2006
Last Update Date: 09/11/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2349 MILL ST
ALIQUIPPA PA
15001-2219
US

IV. Provider business mailing address

2349 MILL ST
ALIQUIPPA PA
15001-2219
US

V. Phone/Fax

Practice location:
  • Phone: 724-375-5401
  • Fax: 724-375-6332
Mailing address:
  • Phone: 724-375-5401
  • Fax: 724-375-6332

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number StatePA

VIII. Authorized Official

Name: JOHN NOTARO
Title or Position: OFFICER
Credential: MD
Phone: 724-375-5401