Healthcare Provider Details

I. General information

NPI: 1477514594
Provider Name (Legal Business Name): RODNEY C LIPMAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/29/2006
Last Update Date: 10/02/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

575 COAL VALLEY RD SUITE 210
CLAIRTON PA
15025-3730
US

IV. Provider business mailing address

5750 CENTRE AVE SUITE 510
PITTSBURGH PA
15206-3721
US

V. Phone/Fax

Practice location:
  • Phone: 412-469-7788
  • Fax: 412-469-1905
Mailing address:
  • Phone: 412-924-1100
  • Fax: 412-924-1111

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License NumberMD023576E
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: