MEDICARE: ANDREW FLAGG

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	2084P0800X	Psychiatry Physician	MD476705	PA

General Provider Information

NPI Number	:	1710343058
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDREW FLAGG

Provider Business Mailing Address
First Line	:	110 FORT COUCH RD STE G200
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15241-1030
Country	:	US
Telephone Number	:	412-465-0605
Fax Number	:

Provider Business Practice Location Address
First Line	:	110 FORT COUCH RD STE G200
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15241-1030
Country	:	US
Telephone Number	:	412-465-0605
Fax Number	:

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

Provider Enumeration Date	:	12/31/2015
Last Update Date	:	06/11/2026

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Directions to “ ANDREW FLAGG ” Practice Location

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