Healthcare Provider Details

I. General information

NPI: 1881685048
Provider Name (Legal Business Name): DANIEL E BUERGER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/04/2005
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

Practice location:
  • Phone: 412-681-4220
  • Fax: 412-681-4396
Mailing address:
  • Phone: 412-681-4220
  • Fax: 412-681-4396

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207WX0200X
TaxonomyOphthalmic Plastic and Reconstructive Surgery Physician
License Number19671
License Number StateWV
# 2
Primary TaxonomyY
Taxonomy Code207WX0200X
TaxonomyOphthalmic Plastic and Reconstructive Surgery Physician
License NumberMD058545L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: