Healthcare Provider Details

I. General information

NPI: 1144889601
Provider Name (Legal Business Name): ALEXANDER ENGELMANN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/10/2019
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1622 LOCUST ST
PITTSBURGH PA
15219-5924
US

IV. Provider business mailing address

1622 LOCUST ST
PITTSBURGH PA
15219-5924
US

V. Phone/Fax

Practice location:
  • Phone: 412-530-5470
  • Fax:
Mailing address:
  • Phone: 412-647-2200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207WX0200X
TaxonomyOphthalmic Plastic and Reconstructive Surgery Physician
License NumberMD493135
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code207WX0109X
TaxonomyNeuro-ophthalmology Physician
License NumberMD493135
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: