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1366407264

NPI Code Detail

MEDICARE: DAVID J KNEZ

MEDICARE: DAVID J KNEZ

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	207L00000X	Anesthesiology Physician	OS009476L	PA
2	2083A0300X	Addiction Medicine (Preventive Medicine) Physician	OS009476L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1366407264
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID J KNEZ

Provider Business Mailing Address
First Line	:	100 EMERSON LN STE 1503
Second Line	:
City	:	BRIDGEVILLE
State	:	PA
Zip	:	15017-3484
Country	:	US
Telephone Number	:	412-977-2051
Fax Number	:

Provider Business Practice Location Address
First Line	:	100 EMERSON LN STE 1503
Second Line	:
City	:	BRIDGEVILLE
State	:	PA
Zip	:	15017-3484
Country	:	US
Telephone Number	:	412-977-2051
Fax Number	:

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

Provider Enumeration Date	:	04/20/2006
Last Update Date	:	10/07/2024

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Directions to “ DAVID J KNEZ ” 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.

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