Healthcare Provider Details
I. General information
NPI: 1316029036
Provider Name (Legal Business Name): JAN C. SESKI, M.D.& ASSOCIATES,MD,PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/20/2006
Last Update Date: 05/12/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3358 5TH AVE
PITTSBURGH PA
15213-3110
US
IV. Provider business mailing address
3358 5TH AVE
PITTSBURGH PA
15213-3110
US
V. Phone/Fax
- Phone: 412-621-2888
- Fax: 412-621-7432
- Phone: 412-621-2888
- Fax: 412-621-7432
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207VG0400X |
| Taxonomy | Gynecology Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207VX0201X |
| Taxonomy | Gynecologic Oncology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MRS.
BERNICE
G.
CHERPAK
Title or Position: ADMINISTRATOR
Credential:
Phone: 412-621-2888