MEDICARE: DR. STANLEY J GEYER 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	207ZP0101X	Anatomic Pathology Physician	MD017579E	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MD017579E	OTHER	PA	MED LIC NUMBER

General Provider Information

NPI Number	:	1629063631
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STANLEY J GEYER MD

Provider Business Mailing Address
First Line	:	PO BOX 49
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15230-0049
Country	:	US
Telephone Number	:	412-937-5786
Fax Number	:	412-937-5710

Provider Business Practice Location Address
First Line	:	835 HOSPITAL RD
Second Line	:
City	:	INDIANA
State	:	PA
Zip	:	15701-3629
Country	:	US
Telephone Number	:	724-357-7169
Fax Number	:	724-357-7481

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

Provider Enumeration Date	:	09/15/2005
Last Update Date	:	09/26/2007

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