Healthcare Provider Details

I. General information

NPI: 1124061973
Provider Name (Legal Business Name): VERED D LEWY-WEISS M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: VERED D LEWY-WEISS M.D.

II. Dates (important events)

Enumeration Date: 06/13/2006
Last Update Date: 11/30/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4401 PENN AVE
PITTSBURGH PA
15224-1334
US

IV. Provider business mailing address

600 OXFORD DR SUITE 310
MONROEVILLE PA
15146-2338
US

V. Phone/Fax

Practice location:
  • Phone: 412-692-5170
  • Fax: 412-692-5834
Mailing address:
  • Phone: 412-372-3755
  • Fax: 412-372-5975

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMD059519L
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code2080P0205X
TaxonomyPediatric Endocrinology Physician
License NumberMD059519L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: