MEDICARE: GEORGE SESTRIC

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	MD027967E	PA

General Provider Information

NPI Number	:	1164497442
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GEORGE SESTRIC

Provider Business Mailing Address
First Line	:	193 43RD ST
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15201-3166
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	193 43RD ST
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15201-3166
Country	:	US
Telephone Number	:	412-621-5227
Fax Number	:

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

Provider Enumeration Date	:	02/21/2006
Last Update Date	:	03/25/2021

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Directions to “ GEORGE SESTRIC ” Practice Location

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