Healthcare Provider Details

I. General information

NPI: 1609887041
Provider Name (Legal Business Name): ZITELLI & BRODLAND PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2006
Last Update Date: 05/28/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5200 CENTRE AVENUE SUITE 303
PITTSBURGH PA
15232
US

IV. Provider business mailing address

5200 CENTRE AVENUE SUITE 303
PITTSBURGH PA
15232
US

V. Phone/Fax

Practice location:
  • Phone: 412-681-9400
  • Fax: 412-681-5240
Mailing address:
  • Phone: 412-681-9400
  • Fax: 412-681-5240

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number39301500
License Number StatePA

VIII. Authorized Official

Name: JOHN A ZITELLI
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 412-681-9400