Healthcare Provider Details

I. General information

NPI: 1184042590
Provider Name (Legal Business Name): CARLY WERNER ZUWIALA M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/02/2014
Last Update Date: 05/24/2023
Certification Date: 05/24/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

104 WELLNESS WAY BLDG 2
WASHINGTON PA
15301-9706
US

IV. Provider business mailing address

2580 HAYMAKER RD STE 201
MONROEVILLE PA
15146-3500
US

V. Phone/Fax

Practice location:
  • Phone: 724-225-3640
  • Fax:
Mailing address:
  • Phone: 412-856-7500
  • Fax: 412-856-6079

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberMD459168
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: