Healthcare Provider Details

I. General information

NPI: 1295116978
Provider Name (Legal Business Name): JENNIFER L DAURIA M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/17/2015
Last Update Date: 07/27/2021
Certification Date: 07/27/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3471 5TH AVE #1010
PITTSBURGH PA
15213-3215
US

IV. Provider business mailing address

3471 5TH AVE STE 1010
PITTSBURGH PA
15213-3221
US

V. Phone/Fax

Practice location:
  • Phone: 412-605-3203
  • Fax:
Mailing address:
  • Phone: 412-605-3245
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number282436
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberMT208064
License Number StatePA
# 3
Primary TaxonomyY
Taxonomy Code207XS0106X
TaxonomyOrthopaedic Hand Surgery Physician
License NumberMD469076
License Number StatePA
# 4
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number469076
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: