Healthcare Provider Details
I. General information
NPI: 1396709945
Provider Name (Legal Business Name): DANIEL B. ERLANGER D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 04/12/2006
Last Update Date: 01/28/2021
Certification Date: 01/28/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
733 WASHINGTON RD STE 401
PITTSBURGH PA
15228-2064
US
IV. Provider business mailing address
1000 BOWER HILL RD ST CLAIR HOSPITAL - AFFILIATE BILLING - PAMALYN
PITTSBURGH PA
15243-1873
US
V. Phone/Fax
- Phone: 412-343-1770
- Fax: 412-344-6539
- Phone: 412-924-2548
- Fax: 412-942-2689
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | OS008354L |
| License Number State | PA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: