Healthcare Provider Details

I. General information

NPI: 1962466607
Provider Name (Legal Business Name): LARRY E HURWITZ MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/12/2006
Last Update Date: 04/18/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5140 LIBERTY AVE
PITTSBURGH PA
15224-2215
US

IV. Provider business mailing address

5140 LIBERTY AVE
PITTSBURGH PA
15224-2215
US

V. Phone/Fax

Practice location:
  • Phone: 412-682-2100
  • Fax:
Mailing address:
  • Phone: 412-682-2100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberMD012283E
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: