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NPI Code Detail

MEDICARE: BRENDA BELLISSIMO

MEDICARE: BRENDA BELLISSIMO
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
1363AM0700XMedical Physician AssistantMA002236LPA

General Provider Information

NPI Number : 1306920889
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRENDA BELLISSIMO
Provider Business Mailing Address
First Line : 320 E NORTH AVE
Second Line : SUITE 5414
City : PITTSBURGH
State : PA
Zip : 15212-4756
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 320 E NORTH AVE
Second Line : SUITE 5414
City : PITTSBURGH
State : PA
Zip : 15212-4756
Country : US
Telephone Number : 412-359-8820
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/24/2006
Last Update Date : 03/25/2021

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Directions to “ BRENDA BELLISSIMO ” Practice Location

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