Healthcare Provider Details
I. General information
NPI: 1811098528
Provider Name (Legal Business Name): ALLERGIC DISEASES & ASTHMA ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/26/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4955 STEUBENVILLE PIKE
PITTSBURGH PA
15205-9619
US
IV. Provider business mailing address
3801 MCKNIGHT EAST DR
PITTSBURGH PA
15237-6437
US
V. Phone/Fax
- Phone: 412-788-1900
- Fax: 412-788-0360
- Phone: 412-367-7788
- Fax: 412-367-1060
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 174400000X |
| Taxonomy | Specialist |
| License Number | MD005134E |
| License Number State | PA |
VIII. Authorized Official
Name: DR.
GILBERT
A.
FRIDAY
Title or Position: PHYSICIAN
Credential: M.D.
Phone: 412-367-7788