Healthcare Provider Details

I. General information

NPI: 1174554885
Provider Name (Legal Business Name): MARK BEUGER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/05/2006
Last Update Date: 08/15/2024
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

315 S 9TH ST
PITTSBURGH PA
15203-1267
US

IV. Provider business mailing address

1200 REEDSDALE ST
PITTSBURGH PA
15233-2109
US

V. Phone/Fax

Practice location:
  • Phone: 412-246-2300
  • Fax:
Mailing address:
  • Phone: 412-323-4548
  • Fax: 412-323-6999

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0802X
TaxonomyAddiction Psychiatry Physician
License NumberMD055978L
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberMD055978L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: