Healthcare Provider Details

I. General information

NPI: 1003000407
Provider Name (Legal Business Name): DAVID JAMES GIRARDI D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/29/2007
Last Update Date: 05/14/2020
Certification Date: 05/14/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

306 PENN AVE
PITTSBURGH PA
15221-2134
US

IV. Provider business mailing address

306 PENN AVE
PITTSBURGH PA
15221-2134
US

V. Phone/Fax

Practice location:
  • Phone: 412-241-5341
  • Fax:
Mailing address:
  • Phone: 412-241-5341
  • Fax: 412-241-5394

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberOS012940
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberOS012940
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: