Healthcare Provider Details

I. General information

NPI: 1508939836
Provider Name (Legal Business Name): HEMOPHILIA CENTER OF WESTERN PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/16/2006
Last Update Date: 05/05/2025
Certification Date: 05/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3636 BOULEVARD OF THE ALLIES
PITTSBURGH PA
15213
US

IV. Provider business mailing address

201 N CRAIG ST STE 500
PITTSBURGH PA
15213-1516
US

V. Phone/Fax

Practice location:
  • Phone: 412-209-7280
  • Fax: 412-209-7281
Mailing address:
  • Phone: 412-209-7280
  • Fax: 412-209-7281

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0000X
TaxonomyHematology (Internal Medicine) Physician
License Number58
License Number StatePA

VIII. Authorized Official

Name: JEFFREY D WAHAL
Title or Position: DIRECTOR
Credential:
Phone: 412-209-7360