Healthcare Provider Details

I. General information

NPI: 1982413464
Provider Name (Legal Business Name): JOSEPH FICCA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/30/2024
Last Update Date: 02/10/2025
Certification Date: 02/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 DELAFIELD RD
PITTSBURGH PA
15215-3205
US

IV. Provider business mailing address

200 DELAFIELD RD STE 1040
PITTSBURGH PA
15215-3234
US

V. Phone/Fax

Practice location:
  • Phone: 412-782-3990
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: