Healthcare Provider Details

I. General information

NPI: 1851383293
Provider Name (Legal Business Name): ELIZABETH STIFEL MD
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 08/22/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2566 HAYMAKER RD FORBES FAMILY PRACTICE, SUITE 212
MONROEVILLE PA
15146-3517
US

IV. Provider business mailing address

2566 HAYMAKER RD FORBES FAMILY PRACTICE, SUITE 212
MONROEVILLE PA
15146-3517
US

V. Phone/Fax

Practice location:
  • Phone: 412-858-2760
  • Fax: 412-858-2765
Mailing address:
  • Phone: 412-858-2760
  • Fax: 412-858-2765

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD010523E
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: