Healthcare Provider Details
I. General information
NPI: 1790018125
Provider Name (Legal Business Name): ALDINO LOUIS PIEROTTI III M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 09/17/2009
Last Update Date: 01/10/2013
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5840 ELLSWORTH AVE SUITE 304
PITTSBURGH PA
15232-1712
US
IV. Provider business mailing address
5840 ELLSWORTH AVE SUITE 304
PITTSBURGH PA
15232-1712
US
V. Phone/Fax
- Phone: 412-404-2939
- Fax: 412-404-2957
- Phone: 412-404-2939
- Fax: 412-404-2957
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | MD053983L |
| License Number State | PA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2083P0500X |
| Taxonomy | Preventive Medicine/Occupational Environmental Medicine Physician |
| License Number | MD053983L |
| License Number State | PA |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207RE0101X |
| Taxonomy | Endocrinology, Diabetes & Metabolism Physician |
| License Number | MD053983L |
| License Number State | PA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: