Healthcare Provider Details

I. General information

NPI: 1932435872
Provider Name (Legal Business Name): MONVALE ORTHOPEDICS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/28/2009
Last Update Date: 06/04/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1145 BOWER HILL RD SUITE 301
PITTSBURGH PA
15243-1342
US

IV. Provider business mailing address

800 PLAZA DR SUITE 400
BELLE VERNON PA
15012-4019
US

V. Phone/Fax

Practice location:
  • Phone: 412-276-7022
  • Fax: 412-276-8557
Mailing address:
  • Phone: 724-379-5816
  • Fax: 724-379-5874

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: AMANDA FERGUSON
Title or Position: ADMINISTRATOR
Credential:
Phone: 724-379-5802