Healthcare Provider Details

I. General information

NPI: 1992876098
Provider Name (Legal Business Name): ROBERT R MARCHETTI FITTER
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/11/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 MOUNT LEBANON BLVD SUITE 2220
PITTSBURGH PA
15234-1512
US

IV. Provider business mailing address

142 SEDECA DR
CANONSBURG PA
15317-6100
US

V. Phone/Fax

Practice location:
  • Phone: 412-343-3813
  • Fax: 412-343-3818
Mailing address:
  • Phone: 724-746-1346
  • Fax: 412-343-3818

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License NumberF02258
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: