Healthcare Provider Details

I. General information

NPI: 1437316247
Provider Name (Legal Business Name): JACQUELINE GALE WEINBERG MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JACQUELINE RHETA GALE

II. Dates (important events)

Enumeration Date: 05/20/2008
Last Update Date: 04/10/2020
Certification Date: 04/10/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4401 PENN AVE. 5TH FLOOR FACULTY PAVILION
PITTSBURGH PA
15224-1334
US

IV. Provider business mailing address

4401 PENN AVE. 5TH FLOOR FACULTY PAVILION
PITTSBURGH PA
15224-1334
US

V. Phone/Fax

Practice location:
  • Phone: 412-692-6038
  • Fax: 412-692-5138
Mailing address:
  • Phone: 412-692-6038
  • Fax: 412-692-5138

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0202X
TaxonomyPediatric Cardiology Physician
License NumberMD455143
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: