Healthcare Provider Details

I. General information

NPI: 1336180728
Provider Name (Legal Business Name): GREGORY D DISCHMAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/09/2006
Last Update Date: 05/20/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7227 HAMILTON AVE
PITTSBURGH PA
15208-1814
US

IV. Provider business mailing address

7227 HAMILTON AVE
PITTSBURGH PA
15208-1814
US

V. Phone/Fax

Practice location:
  • Phone: 412-244-4700
  • Fax: 412-244-4992
Mailing address:
  • Phone: 412-244-4700
  • Fax: 412-244-4992

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code173000000X
TaxonomyLegal Medicine
License NumberMD045198L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: