Healthcare Provider Details

I. General information

NPI: 1437123494
Provider Name (Legal Business Name): A SCOTT LA PIDUS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/15/2006
Last Update Date: 07/16/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

UNIVERSITY DRIVE C 132X-U
PITTSBURGH PA
15240
US

IV. Provider business mailing address

UNIVERSITY DRIVE C 132X-U
PITTSBURGH PA
15240
US

V. Phone/Fax

Practice location:
  • Phone: 412-360-1209
  • Fax:
Mailing address:
  • Phone: 412-360-1209
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License NumberMD063912L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: