Healthcare Provider Details

I. General information

NPI: 1467845818
Provider Name (Legal Business Name): OAKMONT PHYSICAL MEDICINE PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/10/2015
Last Update Date: 03/10/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

285 HILLCREST DR
LOWER BURRELL PA
15068-2301
US

IV. Provider business mailing address

285 HILLCREST DR
LOWER BURRELL PA
15068-2301
US

V. Phone/Fax

Practice location:
  • Phone: 412-913-1036
  • Fax:
Mailing address:
  • Phone: 412-913-1036
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License NumberOS006563L
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DR. ALEC B CIRIGLIANO
Title or Position: OWNER
Credential: DC
Phone: 412-913-1036