Healthcare Provider Details

I. General information

NPI: 1356694590
Provider Name (Legal Business Name): PHYSICIAN LANDING ZONE, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/25/2012
Last Update Date: 08/16/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

333 ALLEGHENY AVE SUITE #1
OAKMONT PA
15139-2072
US

IV. Provider business mailing address

120 5TH AVE
PITTSBURGH PA
15222-3000
US

V. Phone/Fax

Practice location:
  • Phone: 412-423-1048
  • Fax:
Mailing address:
  • Phone: 412-544-4000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QG0300X
TaxonomyGeriatric Medicine (Family Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: WILLIAM GOLDFARB
Title or Position: PRESIDENT
Credential: MD
Phone: 412-578-7080