Healthcare Provider Details

I. General information

NPI: 1356456123
Provider Name (Legal Business Name): SCOTT DENNIS DUFRESNE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/20/2006
Last Update Date: 02/18/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 LOTHROP ST DIVISION OF HEMATOPATHOLOGY
PITTSBURGH PA
15213-2536
US

IV. Provider business mailing address

401 AMBERSON AVE APT 310
PITTSBURGH PA
15232-1460
US

V. Phone/Fax

Practice location:
  • Phone: 412-647-0435
  • Fax:
Mailing address:
  • Phone: 412-855-7456
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License NumberRT-1180
License Number StateNH
# 2
Primary TaxonomyN
Taxonomy Code207ZH0000X
TaxonomyHematology (Pathology) Physician
License NumberMD431193
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: