Healthcare Provider Details

I. General information

NPI: 1851339741
Provider Name (Legal Business Name): COMMUNITY FAMILY PRACTICE ASSOCIATES, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/03/2006
Last Update Date: 03/22/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1713 ARDMORE BLVD
PITTSBURGH PA
15221-4405
US

IV. Provider business mailing address

1713 ARDMORE BLVD
PITTSBURGH PA
15221-4405
US

V. Phone/Fax

Practice location:
  • Phone: 412-247-3222
  • Fax: 412-247-3229
Mailing address:
  • Phone: 412-247-3222
  • Fax: 412-247-3229

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: ISAAC LEVARI
Title or Position: OWNER
Credential: M.D.
Phone: 412-247-3222