MEDICARE: JOHN PIRRIS 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	208800000X	Urology Physician	MD029146L	PA

General Provider Information

NPI Number	:	1639489016
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN PIRRIS MD

Provider Business Mailing Address
First Line	:	180 LEMOYNE AVE
Second Line	:
City	:	WASHINGTON
State	:	PA
Zip	:	15301-3663
Country	:	US
Telephone Number	:	724-222-9195
Fax Number	:

Provider Business Practice Location Address
First Line	:	180 LEMOYNE AVE
Second Line	:
City	:	WASHINGTON
State	:	PA
Zip	:	15301-3663
Country	:	US
Telephone Number	:	724-222-9195
Fax Number	:

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

Provider Enumeration Date	:	10/19/2010
Last Update Date	:	10/19/2010

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