MEDICARE: DR. MARIA PUZANOV MD

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	2084P0800X	Psychiatry Physician	MD480928	PA

General Provider Information

NPI Number	:	1487115366
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARIA PUZANOV MD

Provider Business Mailing Address
First Line	:	401 SHADY AVE STE B202-2
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15206-4409
Country	:	US
Telephone Number	:	412-312-3178
Fax Number	:	412-219-5568

Provider Business Practice Location Address
First Line	:	401 SHADY AVE STE B202-2
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15206-4409
Country	:	US
Telephone Number	:	412-312-3178
Fax Number	:	412-219-5568

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

Provider Enumeration Date	:	03/25/2019
Last Update Date	:	04/28/2026

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