Healthcare Provider Details
I. General information
NPI: 1639150642
Provider Name (Legal Business Name): MICHAEL E. FILIAGGI DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 11/07/2005
Last Update Date: 11/04/2020
Certification Date: 11/04/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2570 HAYMAKER ROAD FORBES REGIONAL HOSPITAL
MONROEVILLE PA
15146
US
IV. Provider business mailing address
3824 NORTHERN PIKE SUITE 700
MONROEVILLE PA
15146-2141
US
V. Phone/Fax
- Phone: 412-858-7618
- Fax: 412-858-7628
- Phone: 412-457-0060
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | OS012825 |
| License Number State | PA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208M00000X |
| Taxonomy | Hospitalist Physician |
| License Number | OS012825 |
| License Number State | PA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: