Healthcare Provider Details

I. General information

NPI: 1265530257
Provider Name (Legal Business Name): WESTERN PENNSYLVANIA OB/GYN MULTISPECIALTY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/21/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4815 LIBERTY AVE SUITE 330
PITTSBURGH PA
15224-2156
US

IV. Provider business mailing address

4815 LIBERTY AVE SUITE 321
PITTSBURGH PA
15224-2156
US

V. Phone/Fax

Practice location:
  • Phone: 412-578-5588
  • Fax: 412-605-6544
Mailing address:
  • Phone: 412-578-5504
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name: DR. GREGORIO DELGADO
Title or Position: CHIEF OF STAFF
Credential: MD
Phone: 412-578-5504