Healthcare Provider Details

I. General information

NPI: 1235381104
Provider Name (Legal Business Name): SARAH ANNE SOLOMON D.O
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/22/2008
Last Update Date: 02/03/2022
Certification Date: 02/03/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5903 5TH AVE APT. 205B
PITTSBURGH PA
15232-2831
US

IV. Provider business mailing address

5903 5TH AVE APT. 205B
PITTSBURGH PA
15232-2831
US

V. Phone/Fax

Practice location:
  • Phone: 412-361-0150
  • Fax:
Mailing address:
  • Phone: 412-361-0150
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License NumberH73143
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License NumberOS014547
License Number StatePA
# 3
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License NumberDO034383
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: