Healthcare Provider Details

I. General information

NPI: 1770584815
Provider Name (Legal Business Name): LOUIS HENRY MARTONE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/10/2005
Last Update Date: 06/10/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 DELAFIELD RD SUITE 202
PITTSBURGH PA
15215-3247
US

IV. Provider business mailing address

100 DELAFIELD RD SUITE 202
PITTSBURGH PA
15215-3247
US

V. Phone/Fax

Practice location:
  • Phone: 412-782-2302
  • Fax: 412-782-6381
Mailing address:
  • Phone: 412-782-2302
  • Fax: 412-782-6381

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License NumberMD012712E
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: