Healthcare Provider Details

I. General information

NPI: 1285760603
Provider Name (Legal Business Name): CARNEGIE PEDIATRICS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/27/2007
Last Update Date: 09/14/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

813 WASHINGTON AVE
CARNEGIE PA
15106-3121
US

IV. Provider business mailing address

813 WASHINGTON AVE
CARNEGIE PA
15106-3121
US

V. Phone/Fax

Practice location:
  • Phone: 412-276-2203
  • Fax: 412-276-3355
Mailing address:
  • Phone: 412-276-2203
  • Fax: 412-276-3355

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QA0000X
TaxonomyAdolescent Medicine (Family Medicine) Physician
License NumberMD020678E
License Number StatePA

VIII. Authorized Official

Name: DR. JOSEPH I TROMPETER
Title or Position: PRESIDENT
Credential: M.D.
Phone: 412-276-2203