Healthcare Provider Details

I. General information

NPI: 1790777415
Provider Name (Legal Business Name): HOWARD PITTLE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 08/18/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5247 BROWNSVILLE RD
PITTSBURGH PA
15236-2756
US

IV. Provider business mailing address

506 ATHENA DR
DELMONT PA
15626-1005
US

V. Phone/Fax

Practice location:
  • Phone: 412-943-1300
  • Fax: 412-943-1311
Mailing address:
  • Phone: 724-468-6869
  • Fax: 724-468-6207

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD050756L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: