Healthcare Provider Details

I. General information

NPI: 1831237429
Provider Name (Legal Business Name): ALLYSON SARA LARKIN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ALLYSON SARA PITT MD

II. Dates (important events)

Enumeration Date: 02/03/2007
Last Update Date: 07/29/2021
Certification Date: 07/29/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4401 PENN AVE STE 3300
PITTSBURGH PA
15224-1334
US

IV. Provider business mailing address

4401 PENN AVE STE 3300
PITTSBURGH PA
15224-1334
US

V. Phone/Fax

Practice location:
  • Phone: 412-692-8903
  • Fax:
Mailing address:
  • Phone: 412-692-8903
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207KA0200X
TaxonomyAllergy Physician
License NumberMD430824
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: