Healthcare Provider Details

I. General information

NPI: 1043279102
Provider Name (Legal Business Name): ROBERT M LEWEN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/18/2006
Last Update Date: 04/14/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

420 EAST NORTH AVENUE STE 116
PITTSBURGH PA
15212
US

IV. Provider business mailing address

420 EAST NORTH AVENUE STE 116
PITTSBURGH PA
15212
US

V. Phone/Fax

Practice location:
  • Phone: 412-359-6300
  • Fax: 412-359-6768
Mailing address:
  • Phone: 412-359-6300
  • Fax: 412-359-6768

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberMD043035E
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: