Healthcare Provider Details

I. General information

NPI: 1609132216
Provider Name (Legal Business Name): ELIZABETH MIRIAM SENSENIG M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/09/2012
Last Update Date: 09/20/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4401 PENN AVE, AOB SUITE 5400 CHILDREN'S HOSPITAL OF PITTSBURGH OF UPMC
PITTSBURGH PA
15224
US

IV. Provider business mailing address

2 HOT METAL ST QUANTUM ONE, SUITE 001
PITTSBURGH PA
15203-2348
US

V. Phone/Fax

Practice location:
  • Phone: 412-692-5437
  • Fax:
Mailing address:
  • Phone: 412-647-3087
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMD455085
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: