Healthcare Provider Details

I. General information

NPI: 1992789762
Provider Name (Legal Business Name): KAREN RUTH ROCHE M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/05/2005
Last Update Date: 10/14/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9365 MCKNIGHT RD SUITE 200
PITTSBURGH PA
15237-5901
US

IV. Provider business mailing address

9365 MCKNIGHT RD SUITE 200
PITTSBURGH PA
15237-5901
US

V. Phone/Fax

Practice location:
  • Phone: 412-367-8998
  • Fax: 412-367-3864
Mailing address:
  • Phone: 412-367-8998
  • Fax: 412-367-3864

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License NumberMD018222E
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: