Healthcare Provider Details

I. General information

NPI: 1699458042
Provider Name (Legal Business Name): ALTHEDA PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/11/2023
Last Update Date: 08/11/2023
Certification Date: 08/11/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

596 PINE HOLLOW RD
MC KEES ROCKS PA
15136-1661
US

IV. Provider business mailing address

3911 SAW MILL RUN BLVD
PITTSBURGH PA
15227-2605
US

V. Phone/Fax

Practice location:
  • Phone: 412-679-7050
  • Fax: 412-679-7051
Mailing address:
  • Phone: 724-494-0280
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. STEVEN TWAN
Title or Position: PEDIATRICIAN
Credential: MD
Phone: 724-494-0280