MEDICARE: DR. COLLEEN MCDONNELL DATTILO M.D.

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	208000000X	Pediatrics Physician	MD024017E	PA

General Provider Information

NPI Number	:	1255564910
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. COLLEEN MCDONNELL DATTILO M.D.

Provider Business Mailing Address
First Line	:	625 RIDGEVIEW DR
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15228-1705
Country	:	US
Telephone Number	:	412-343-7629
Fax Number	:

Provider Business Practice Location Address
First Line	:	625 RIDGEVIEW DR
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15228-1705
Country	:	US
Telephone Number	:	412-343-7629
Fax Number	:

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

Provider Enumeration Date	:	08/28/2009
Last Update Date	:	08/28/2009

Similar Medicare Providers

1154336071 — GIANT EAGLE INC
Practice Location Address:

1705 S BRADDOCK AVE
PITTSBURGH, PA
15218-1865

Practice Phone: 412-371-4456
Practice Fax: 412-242-6239

1437243318 — DR. RICHARD A. CICCARELLI DMD
Practice Location Address:

1705 PITTSBURGH ST
CHESWICK, PA
15024-1525

Practice Phone: 724-274-8185
Practice Fax: 724-274-4287

1730243429 — OMAR ABOOSI DMD
Practice Location Address:

4815 CENTRE AVE , SUITE 105
PITTSBURGH, PA
15213-1705

Practice Phone: 412-578-9722
Practice Fax: 412-578-9724

1326385071 — JULIA VANESSA OFRICHTER LCSW
Practice Location Address:

1735 E CARSON ST # 318
PITTSBURGH, PA
15203-1705

Practice Phone: 412-433-0288
Practice Fax:

1023487568 — DR. CHRISTIANE SIEWERS M.D.
Practice Location Address:

935 BEECH AVE
PITTSBURGH, PA
15233-1705

Practice Phone: 412-760-6690
Practice Fax:

1477179331 — BONITA MARIE KNIGHT
Practice Location Address:

3133 ASHLYN ST APT 1
PITTSBURGH, PA
15204-1705

Practice Phone: 412-689-7921
Practice Fax:

Directions to “ DR. COLLEEN MCDONNELL DATTILO M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.