Healthcare Provider Details

I. General information

NPI: 1689355265
Provider Name (Legal Business Name): AC MEDICAL PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/27/2023
Last Update Date: 07/27/2023
Certification Date: 07/27/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6000 STEUBENVILLE PIKE STE 101
MC KEES ROCKS PA
15136-1353
US

IV. Provider business mailing address

6000 STEUBENVILLE PIKE STE 101
MC KEES ROCKS PA
15136-1353
US

V. Phone/Fax

Practice location:
  • Phone: 412-787-7766
  • Fax: 412-882-0966
Mailing address:
  • Phone: 412-787-7766
  • Fax: 412-882-0966

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: WAYNE CHEN
Title or Position: MANAAGER
Credential: DO
Phone: 412-787-7766