Healthcare Provider Details

I. General information

NPI: 1093826646
Provider Name (Legal Business Name): SANALJON MEDICAL CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 05/23/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

216 SUMMIT PARK DR
PITTSBURGH PA
15275-1220
US

IV. Provider business mailing address

216 SUMMIT PARK DR
PITTSBURGH PA
15275-1220
US

V. Phone/Fax

Practice location:
  • Phone: 412-787-6340
  • Fax: 412-787-6343
Mailing address:
  • Phone: 412-787-6340
  • Fax: 412-787-6343

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: TERESA ROIG
Title or Position: CFO
Credential:
Phone: 412-787-6340