Healthcare Provider Details

I. General information

NPI: 1639442015
Provider Name (Legal Business Name): PHYSICIAN LANDING ZONE, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/16/2012
Last Update Date: 06/27/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 5TH AVE
PITTSBURGH PA
15222-3000
US

IV. Provider business mailing address

120 5TH AVE
PITTSBURGH PA
15222-3000
US

V. Phone/Fax

Practice location:
  • Phone: 412-544-6997
  • Fax:
Mailing address:
  • Phone: 412-544-6997
  • Fax: 412-544-7303

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

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