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NPI Code Detail

MEDICARE: PITTSBURGH DERMATOLOGY & SKIN CANCER CENTER, P.C.

MEDICARE: PITTSBURGH DERMATOLOGY & SKIN CANCER CENTER, 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
1207ND0101XMOHS-Micrographic Surgery Physician
2207NS0135XProcedural Dermatology Physician
3207N00000XDermatology Physician

General Provider Information

NPI Number : 1508921362
Entity Type Code : Organization
Provider Name (Legal Business Name) : PITTSBURGH DERMATOLOGY & SKIN CANCER CENTER, P.C.
Provider Business Mailing Address
First Line : 2790 MOSSIDE BLVD
Second Line : SUITE 105
City : MONROEVILLE
State : PA
Zip : 15146-2743
Country : US
Telephone Number : 412-372-2277
Fax Number : 412-373-2307
Provider Business Practice Location Address
First Line : 2790 MOSSIDE BLVD
Second Line : SUITE 105
City : MONROEVILLE
State : PA
Zip : 15146-2743
Country : US
Telephone Number : 412-372-2277
Fax Number : 412-373-2307
Authorized Official
Title or Position : PRESIDENT, OWNER
Name : DR. JEFFREY GEORGE WEAVER
Credential : D.O.
Telephone Number : 412-372-2277
Provider Enumeration Date : 12/22/2006
Last Update Date : 05/27/2022

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Directions to “PITTSBURGH DERMATOLOGY & SKIN CANCER CENTER, P.C. ” Practice Location

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