Healthcare Provider Details
I. General information
NPI: 1326073933
Provider Name (Legal Business Name): REPROCHOICE LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/11/2006
Last Update Date: 08/22/2019
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5910 KIRKWOOD ST
PITTSBURGH PA
15206-3048
US
IV. Provider business mailing address
5910 KIRKWOOD ST
PITTSBURGH PA
15206-3048
US
V. Phone/Fax
- Phone: 412-661-8811
- Fax: 412-363-6901
- Phone: 412-661-8811
- Fax: 412-363-6901
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 174400000X |
| Taxonomy | Specialist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
SARAH
KEGARISE
Title or Position: ACCOUNT MANAGER
Credential:
Phone: 412-661-8811