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NPI Code Detail

MEDICARE: CARLY HECK M.D.

MEDICARE: CARLY HECK M.D.
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
1390200000XStudent in an Organized Health Care Education/Training Program
2208000000XPediatrics PhysicianMD484388PA

General Provider Information

NPI Number : 1619557691
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARLY HECK M.D.
Provider Business Mailing Address
First Line : 88 FORT COUCH RD STE 100
Second Line :
City : PITTSBURGH
State : PA
Zip : 15241-1042
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 88 FORT COUCH RD STE 100
Second Line :
City : PITTSBURGH
State : PA
Zip : 15241-1042
Country : US
Telephone Number : 724-969-6970
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/13/2021
Last Update Date : 09/04/2024

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Directions to “ CARLY HECK M.D.” Practice Location

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