Healthcare Provider Details

I. General information

NPI: 1316048093
Provider Name (Legal Business Name): ROBERT ALAN WOOLHANDLER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/26/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5562 WILKINS AVE
PITTSBURGH PA
15217
US

IV. Provider business mailing address

5562 WILKINS AVE
PITTSBURGH PA
15217
US

V. Phone/Fax

Practice location:
  • Phone: 412-422-0500
  • Fax: 412-422-2653
Mailing address:
  • Phone: 412-422-0500
  • Fax: 412-422-2653

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QA0401X
TaxonomyAddiction Medicine (Family Medicine) Physician
License NumberMD017388E
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: