MEDICARE: MERYL BUTTERS

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	174400000X	Specialist	PS006863L	PA

General Provider Information

NPI Number	:	1164494126
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MERYL BUTTERS

Provider Business Mailing Address
First Line	:	3811 OHARA ST
Second Line	:	SUITE 1135E
City	:	PITTSBURGH
State	:	PA
Zip	:	15213-2561
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3811 OHARA ST
Second Line	:	SUITE 1135E
City	:	PITTSBURGH
State	:	PA
Zip	:	15213-2561
Country	:	US
Telephone Number	:	412-624-1000
Fax Number	:

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

Provider Enumeration Date	:	02/03/2006
Last Update Date	:	06/15/2021

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Directions to “ MERYL BUTTERS ” Practice Location

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