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NPI Code Detail

MEDICARE: MRS. GEORGINE B DEMARINO MD

MEDICARE: MRS. GEORGINE B DEMARINO MD
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
12085R0202XDiagnostic Radiology PhysicianMD037914EPA

General Provider Information

NPI Number : 1285664656
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. GEORGINE B DEMARINO MD
Provider Business Mailing Address
First Line : 320 E NORTH AVE
Second Line :
City : PITTSBURGH
State : PA
Zip : 15212-4756
Country : US
Telephone Number : 412-359-2459
Fax Number : 412-359-8233
Provider Business Practice Location Address
First Line : 1907 LEBANON CHURCH RD
Second Line :
City : WEST MIFFLIN
State : PA
Zip : 15122-2432
Country : US
Telephone Number : 412-650-7830
Fax Number : 412-650-7831
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/03/2006
Last Update Date : 10/07/2020

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