MEDICARE: GRACIELA BAUZA

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	208600000X	Surgery Physician	MD439391	PA

General Provider Information

NPI Number	:	1164612255
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GRACIELA BAUZA

Provider Business Mailing Address
First Line	:	200 LOTHROP STREET SUITE F1265
Second Line	:	UPMC-PRESBY DEPT OF SURGERY
City	:	PITTSBURGH
State	:	PA
Zip	:	15213
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	200 LOTHROP ST
Second Line	:	UPMC PRESBYTARIAN DEPT. OF SURGERY, SUITE F 1264
City	:	PITTSBURGH
State	:	PA
Zip	:	15213-2536
Country	:	US
Telephone Number	:	412-647-0421
Fax Number	:

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

Provider Enumeration Date	:	07/26/2007
Last Update Date	:	03/25/2021

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