Healthcare Provider Details

I. General information

NPI: 1659952877
Provider Name (Legal Business Name): MAXWELL FRANCIS PEDRE DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/19/2021
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4815 LIBERTY AVE STE 439
PITTSBURGH PA
15224-2156
US

IV. Provider business mailing address

4815 LIBERTY AVE STE 439
PITTSBURGH PA
15224-2156
US

V. Phone/Fax

Practice location:
  • Phone: 724-260-7300
  • Fax:
Mailing address:
  • Phone: 724-260-7300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberOS025715
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: