Healthcare Provider Details

I. General information

NPI: 1245289131
Provider Name (Legal Business Name): EMERGENCY PHYSICIANS OF PITTSBURGH, LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/08/2006
Last Update Date: 03/05/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

565 COAL VALLEY RD
CLAIRTON PA
15025-3703
US

IV. Provider business mailing address

PO BOX 13566 ATTN: GRACE WILSON
PHILADELPHIA PA
19101-3566
US

V. Phone/Fax

Practice location:
  • Phone: 412-469-5959
  • Fax: 412-469-5600
Mailing address:
  • Phone: 412-469-5959
  • Fax: 412-469-5600

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207PE0004X
TaxonomyEmergency Medical Services (Emergency Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: CHRISTOPHER DOOLEY
Title or Position: PRESIDENT
Credential: M.D.
Phone: 412-469-5959