Healthcare Provider Details

I. General information

NPI: 1801897145
Provider Name (Legal Business Name): ASSOCIATES IN INFECTIOUS DISEASE AND TROPICAL MEDICINE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/09/2005
Last Update Date: 04/27/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5230 CENTRE AVE
PITTSBURGH PA
15232-1304
US

IV. Provider business mailing address

PO BOX 38721
PITTSBURGH PA
15238-8721
US

V. Phone/Fax

Practice location:
  • Phone: 412-661-1633
  • Fax: 412-661-1631
Mailing address:
  • Phone: 724-527-1975
  • Fax: 724-527-6589

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License NumberMD017686E
License Number State

VIII. Authorized Official

Name: MRS. SARA A IEZZI
Title or Position: MANAGER
Credential: D
Phone: 724-527-1975