Healthcare Provider Details
I. General information
NPI: 1437485687
Provider Name (Legal Business Name): PALLIATIVE CARE PATHWAYS, PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/22/2009
Last Update Date: 10/22/2009
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
50 MOFFETT ST
PITTSBURGH PA
15243-1162
US
IV. Provider business mailing address
50 MOFFETT ST
PITTSBURGH PA
15243-1162
US
V. Phone/Fax
- Phone: 412-572-8800
- Fax: 412-572-8826
- Phone: 412-572-8800
- Fax: 412-572-8826
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207QH0002X |
| Taxonomy | Hospice and Palliative Medicine (Family Medicine) Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
FRANCO
INSANA
Title or Position: CFO
Credential:
Phone: 412-572-8800