Healthcare Provider Details
I. General information
NPI: 1417454489
Provider Name (Legal Business Name): TYLER J COLANGELO MBBS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 04/06/2018
Last Update Date: 07/08/2025
Certification Date: 07/08/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
UPMC CHILDREN'S HOSPITAL OF PITTSBURGH 4401 PENN AVENUE, FLOOR 3
PITTSBURGH PA
15224
US
IV. Provider business mailing address
3600 FORBES AVENUE FORBES TOWER- PLAZA LEVEL SUITE 140
PITTSBURGH PA
15213
US
V. Phone/Fax
- Phone: 412-692-5170
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2080P0205X |
| Taxonomy | Pediatric Endocrinology Physician |
| License Number | MD474632 |
| License Number State | PA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: