Healthcare Provider Details

I. General information

NPI: 1922260199
Provider Name (Legal Business Name): MELISSA CHESTNEY GLUCK MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/30/2008
Last Update Date: 12/06/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1010 DELAFIELD RD
PITTSBURGH PA
15215-1802
US

IV. Provider business mailing address

200 LOTHROP ST UPMC MONTEFIORE SUITE N713
PITTSBURGH PA
15213
US

V. Phone/Fax

Practice location:
  • Phone: 412-822-1670
  • Fax:
Mailing address:
  • Phone: 412-692-4700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD442030
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: