Healthcare Provider Details

I. General information

NPI: 1356621221
Provider Name (Legal Business Name): HURWITZ CENTER FOR PLASTIC SURGERY, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/24/2011
Last Update Date: 10/27/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3109 FORBES AVE SUITE 500
PITTSBURGH PA
15213-3010
US

IV. Provider business mailing address

3109 FORBES AVE SUITE 500
PITTSBURGH PA
15213-3010
US

V. Phone/Fax

Practice location:
  • Phone: 412-802-6100
  • Fax: 412-802-7700
Mailing address:
  • Phone: 412-802-6100
  • Fax: 412-802-7700

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License NumberMD017467E
License Number StatePA

VIII. Authorized Official

Name: DR. DENNIS JAY HURWITZ
Title or Position: PRESIDENT
Credential: M.D.
Phone: 412-802-6100