MEDICARE: MIGUEL A. MARRERO, MD, PC

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	207VE0102X	Reproductive Endocrinology Physician	MD046545L	PA
2	207VG0400X	Gynecology Physician	MD046545L	PA

General Provider Information

NPI Number	:	1306077227
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MIGUEL A. MARRERO, MD, PC

Provider Business Mailing Address
First Line	:	4955 STEUBENVILLE PIKE
Second Line	:	STE 364
City	:	PITTSBURGH
State	:	PA
Zip	:	15205-9619
Country	:	US
Telephone Number	:	412-494-7560
Fax Number	:	412-494-7564

Provider Business Practice Location Address
First Line	:	4955 STEUBENVILLE PIKE
Second Line	:	STE 364
City	:	PITTSBURGH
State	:	PA
Zip	:	15205-9619
Country	:	US
Telephone Number	:	412-494-7560
Fax Number	:	412-494-7564

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. MIGUEL A MARRERO
Credential	:	MD
Telephone Number	:	412-494-7560

Provider Enumeration Date	:	07/28/2009
Last Update Date	:	07/28/2009

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