Healthcare Provider Details

I. General information

NPI: 1851484265
Provider Name (Legal Business Name): JUDITH L PLOWMAN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/30/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7180 HIGHLAND DR 00GR-U
PITTSBURGH PA
15206
US

IV. Provider business mailing address

106 BERKELEY MEADOWS CT
PITTSBURGH PA
15237
US

V. Phone/Fax

Practice location:
  • Phone: 412-365-5755
  • Fax: 412-365-5186
Mailing address:
  • Phone: 412-492-0254
  • Fax: 412-492-0254

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0300X
TaxonomyGeriatric Medicine (Internal Medicine) Physician
License NumberMD-053644L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: