MEDICARE: TRACY SEEWALD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	MD039534E	PA

General Provider Information

NPI Number	:	1063487338
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TRACY SEEWALD

Provider Business Mailing Address
First Line	:	3436 WILLIAM PENN HWY
Second Line	:	BUILDING 2
City	:	PITTSBURGH
State	:	PA
Zip	:	15235-5411
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3436 WILLIAM PENN HWY
Second Line	:	BUILDING 2
City	:	PITTSBURGH
State	:	PA
Zip	:	15235-5411
Country	:	US
Telephone Number	:	412-823-6222
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/21/2006
Last Update Date	:	04/01/2021

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