Healthcare Provider Details

I. General information

NPI: 1346323672
Provider Name (Legal Business Name): STEVEN TWAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/23/2006
Last Update Date: 01/31/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4411 STILLEY RD 3RD FLOOR
PITTSBURGH PA
15227-1368
US

IV. Provider business mailing address

4411 STILLEY RD 3RD FLOOR
PITTSBURGH PA
15227-1368
US

V. Phone/Fax

Practice location:
  • Phone: 412-885-2000
  • Fax: 412-885-5641
Mailing address:
  • Phone: 412-885-2000
  • Fax: 412-885-5641

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMD065903Y
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: