Healthcare Provider Details

I. General information

NPI: 1407197593
Provider Name (Legal Business Name): PHYSICIAN LANDING ZONE, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/14/2013
Last Update Date: 03/14/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 MEDICAL BLVD
CANONSBURG PA
15317-9762
US

IV. Provider business mailing address

120 5TH AVE
PITTSBURGH PA
15222-3000
US

V. Phone/Fax

Practice location:
  • Phone: 412-544-4000
  • Fax:
Mailing address:
  • Phone: 412-544-1000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VX0201X
TaxonomyGynecologic Oncology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. WILLIAM GOLDFARB
Title or Position: PRESIDENT
Credential: MD
Phone: 412-578-7080