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General NPI Number Information
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NPI Number | 1194795070
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Entity Type | Organization
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Legal Business Name | MARLBOROUGH HOLDINGS LLC
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Dates
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Enumeration Date | 01/24/2006
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Last Update Date | 06/16/2008
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Provider Practice Location Address
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Address Line | 339 OLD HAYMAKER RD STE 1700 PARKWAY BLDG
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City | MONROEVILLE
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State | PA
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Zip | 15146
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Country | US
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Telephone | 412-373-8300
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Fax | 412-373-7027
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Provider Business Mailing Address
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Address Line | 339 OLD HAYMAKER RD STE 1700 PARKWAY BLDG
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City | MONROEVILLE
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State | PA
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Zip | 15146
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Country | US
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Telephone | 412-373-8300
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Fax | 412-373-7027
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Authorized Official
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Title or Position | MEDICAL DIRECTOR SOLE MEMBER OF LLC
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Name | ROBERT H SWEDARSKY
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Credential | MD
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Telephone | 412-373-8300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207ZC0500X
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Taxonomy Name | Cytopathology Physician
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License Number | 800016595
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207ZC0500X
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Taxonomy Name | Cytopathology Physician
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License Number | 331
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License Number State | PA
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