Healthcare Provider Details

I. General information

NPI: 1215480348
Provider Name (Legal Business Name): MATTHEW PAUL DUKEWICH MD, PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/25/2016
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3459 FIFTH AVE FRANK SARRIS OUTPATIENT CLINIC, SEVENTH FLOOR
PITTSBURGH PA
15213
US

IV. Provider business mailing address

3459 FIFTH AVE FRANK SARRIS OUTPATIENT CLINIC, SEVENTH FLOOR
PITTSBURGH PA
15213
US

V. Phone/Fax

Practice location:
  • Phone: 412-647-1170
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RT0003X
TaxonomyTransplant Hepatology Physician
License NumberMD495063
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: