MEDICARE: DR. MARC ALAN YESTER 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
1	208000000X	Pediatrics Physician	439235	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

General Provider Information

NPI Number	:	1699956599
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARC ALAN YESTER M.D.

Provider Business Mailing Address
First Line	:	240 MOUNT LEBANON BLVD
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15234-1243
Country	:	US
Telephone Number	:	412-561-7541
Fax Number	:

Provider Business Practice Location Address
First Line	:	3055 WASHINGTON RD
Second Line	:	SUITE 102
City	:	MC MURRAY
State	:	PA
Zip	:	15317-3279
Country	:	US
Telephone Number	:	724-969-5025
Fax Number	:	724-969-5001

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

Provider Enumeration Date	:	11/19/2007
Last Update Date	:	07/20/2011

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