MEDICARE: PHYSICIAN LANDING ZONE, P.C.

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	207Q00000X	Family Medicine Physician		PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	08	OTHER	PA	CMS SPECIALITY CODE
2	207Q00000X	OTHER	PA	PRIMARY TAXONOMY

General Provider Information

NPI Number	:	1467884791
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PHYSICIAN LANDING ZONE, P.C.

Provider Business Mailing Address
First Line	:	2 ALLEGHENY CTR
Second Line	:	SIXTH FLOOR
City	:	PITTSBURGH
State	:	PA
Zip	:	15212-5402
Country	:	US
Telephone Number	:	412-330-5233
Fax Number	:	412-330-5522

Provider Business Practice Location Address
First Line	:	125 EMERYVILLE DR
Second Line	:	SUITE 120
City	:	CRANBERRY TOWNSHIP
State	:	PA
Zip	:	16066-5020
Country	:	US
Telephone Number	:	724-772-2340
Fax Number	:	724-772-2347

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. WILLIAM GOLDFARB
Credential	:	MD
Telephone Number	:	412-578-7080

Provider Enumeration Date	:	08/09/2013
Last Update Date	:	08/20/2013

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