Healthcare Provider Details

I. General information

NPI: 1255388716
Provider Name (Legal Business Name): NOAH D LUBOWSKY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/30/2006
Last Update Date: 03/03/2025
Certification Date: 03/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

310 RODI RD STE 220
PITTSBURGH PA
15235-3318
US

IV. Provider business mailing address

310 RODI RD STE 220
PITTSBURGH PA
15235-3318
US

V. Phone/Fax

Practice location:
  • Phone: 412-858-4474
  • Fax: 412-858-3033
Mailing address:
  • Phone: 412-858-4474
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License NumberMD426053
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: