Healthcare Provider Details

I. General information

NPI: 1174875892
Provider Name (Legal Business Name): PHYSICIAN LANDING ZONE, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/04/2012
Last Update Date: 10/04/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4815 LIBERTY AVE SUITE 156-158
PITTSBURGH PA
15224-2156
US

IV. Provider business mailing address

120 5TH AVE
PITTSBURGH PA
15222-3000
US

V. Phone/Fax

Practice location:
  • Phone: 412-359-8991
  • Fax:
Mailing address:
  • Phone: 412-544-0818
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License NumberMD019095E
License Number StatePA

VIII. Authorized Official

Name: DR. WILLIAM GOLDFARB
Title or Position: PRESIDENT
Credential: M.D.
Phone: 412-578-7080