Healthcare Provider Details
I. General information
NPI: 1760632103
Provider Name (Legal Business Name): PITTSBURGH MEDICAL ASSOCIATES, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/23/2008
Last Update Date: 09/23/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1200 BROOKS LN SUITE 160
CLAIRTON PA
15025-3747
US
IV. Provider business mailing address
1350 LOCUST ST SUITE 100
PITTSBURGH PA
15219-4738
US
V. Phone/Fax
- Phone: 412-382-9145
- Fax: 412-382-9147
- Phone: 412-562-3292
- Fax: 412-281-2610
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
THOMAS
PINTO
Title or Position: PRESIDENT
Credential: M.D.
Phone: 412-562-3292