Healthcare Provider Details

I. General information

NPI: 1003879172
Provider Name (Legal Business Name): ANTHONY G GOLIO M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/10/2006
Last Update Date: 09/29/2025
Certification Date: 09/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

723 HEATHERGATE DR
PITTSBURGH PA
15238-1000
US

IV. Provider business mailing address

723 HEATHERGATE DR
PITTSBURGH PA
15238-1000
US

V. Phone/Fax

Practice location:
  • Phone: 724-462-8563
  • Fax: 724-295-0411
Mailing address:
  • Phone: 724-462-8563
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208800000X
TaxonomyUrology Physician
License NumberMD041691-E
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: