MEDICARE: DR. ANDREW JORDAN MAUL MD, MBA

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	207R00000X	Internal Medicine Physician	MD487681	PA

General Provider Information

NPI Number	:	1366061210
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANDREW JORDAN MAUL MD, MBA

Provider Business Mailing Address
First Line	:	3600 FORBES AVE STE 140
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15213-3410
Country	:	US
Telephone Number	:	412-647-6340
Fax Number	:	412-647-5809

Provider Business Practice Location Address
First Line	:	300 HALKET ST STE 1731
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15213-3108
Country	:	US
Telephone Number	:	412-756-6014
Fax Number	:

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

Provider Enumeration Date	:	04/10/2020
Last Update Date	:	02/21/2025

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