Healthcare Provider Details

I. General information

NPI: 1467174631
Provider Name (Legal Business Name): GREATER PITTSBURGH MULTI-SPECIALTY GROUP, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/14/2022
Last Update Date: 09/14/2022
Certification Date: 09/14/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 MARKET ST STE 101
BEAVER PA
15009-2998
US

IV. Provider business mailing address

500 MARKET ST STE 101
BEAVER PA
15009-2998
US

V. Phone/Fax

Practice location:
  • Phone: 724-991-0116
  • Fax: 878-313-3339
Mailing address:
  • Phone: 724-991-0116
  • Fax: 878-313-3339

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number
License Number State

VIII. Authorized Official

Name: DR. MAURICIO GIRALDO
Title or Position: OWNER
Credential: MD
Phone: 724-991-0116