Healthcare Provider Details
I. General information
NPI: 1730160631
Provider Name (Legal Business Name): DAVID G BUERGER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 11/08/2005
Last Update Date: 05/22/2020
Certification Date: 05/22/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5750 CENTRE AVE STE 230
PITTSBURGH PA
15206-3761
US
IV. Provider business mailing address
5750 CENTRE AVE STE 230
PITTSBURGH PA
15206-3761
US
V. Phone/Fax
- Phone: 412-681-4220
- Fax: 412-681-4396
- Phone: 412-681-4220
- Fax: 412-681-4396
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207WX0200X |
| Taxonomy | Ophthalmic Plastic and Reconstructive Surgery Physician |
| License Number | MD050856L |
| License Number State | PA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: