Healthcare Provider Details
I. General information
NPI: 1952383804
Provider Name (Legal Business Name): UROLOGY & ULTRASOUND ASSOCIATES INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/16/2005
Last Update Date: 07/06/2011
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
100 DELAFIELD RD SUITE 312
PITTSBURGH PA
15215-3247
US
IV. Provider business mailing address
100 DELAFIELD RD SUITE 312
PITTSBURGH PA
15215-3247
US
V. Phone/Fax
- Phone: 412-781-7222
- Fax: 412-781-7050
- Phone: 412-781-7222
- Fax: 412-781-7050
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2085U0001X |
| Taxonomy | Diagnostic Ultrasound Physician |
| License Number | MD025207E |
| License Number State | PA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208800000X |
| Taxonomy | Urology Physician |
| License Number | MD022549E |
| License Number State | PA |
VIII. Authorized Official
Name: DR.
FRANK
D
GRECO
Title or Position: PRESIDENT
Credential: MD
Phone: 412-781-7222