Healthcare Provider Details
I. General information
NPI: 1336105378
Provider Name (Legal Business Name): JUDITH LOUISE ALBERT MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 04/26/2006
Last Update Date: 04/16/2013
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
419 RODI ROAD
PITTSBURGH PA
15235-4566
US
IV. Provider business mailing address
419 RODI ROAD
PITTSBURGH PA
15235-4566
US
V. Phone/Fax
- Phone: 412-731-8000
- Fax: 412-731-8399
- Phone: 412-731-8000
- Fax: 412-731-8399
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207VE0102X |
| Taxonomy | Reproductive Endocrinology Physician |
| License Number | 029817E |
| License Number State | PA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: