Healthcare Provider Details

I. General information

NPI: 1578527644
Provider Name (Legal Business Name): CYNTHIA P. BUTLER D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/14/2006
Last Update Date: 10/03/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

733 WASHINGTON RD SUITE 401
PITTSBURGH PA
15228-2022
US

IV. Provider business mailing address

1000 BOWER HILL RD AFFILIATE BILLING
PITTSBURGH PA
15243-1873
US

V. Phone/Fax

Practice location:
  • Phone: 412-343-1770
  • Fax: 412-344-6539
Mailing address:
  • Phone: 412-942-2647
  • Fax: 412-942-2689

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberOS008188L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: