MEDICARE: CAROLINE MARY VAIL DO

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	2081P0004X	Spinal Cord Injury Medicine Physician	OS023991	PA

General Provider Information

NPI Number	:	1396205985
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAROLINE MARY VAIL DO

Provider Business Mailing Address
First Line	:	3600 FORBES AVENUE
Second Line	:	FORBES TOWER, PLAZA LEVEL SUITE 140
City	:	PITTSBURGH
State	:	PA
Zip	:	15213
Country	:	US
Telephone Number	:	412-647-5815
Fax Number	:

Provider Business Practice Location Address
First Line	:	1400 LOCUST STREET
Second Line	:	ERMIRE BUILDING, SUITE 11516
City	:	PITTSBURGH
State	:	PA
Zip	:	15219
Country	:	US
Telephone Number	:	412-232-8949
Fax Number	:	412-232-7535

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

Provider Enumeration Date	:	03/21/2019
Last Update Date	:	01/20/2026

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Directions to “ CAROLINE MARY VAIL DO” Practice Location

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