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NPI Code Detail

MEDICARE: JENNIFER F HOULIAHN P.A.

MEDICARE: JENNIFER F HOULIAHN P.A.
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
1363AM0700XMedical Physician AssistantMA052133PA

General Provider Information

NPI Number : 1780669010
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER F HOULIAHN P.A.
Provider Business Mailing Address
First Line : 300 HALKET ST
Second Line : RENAISSANCE ORTHOPAEDICS, SUITE 1601
City : PITTSBURGH
State : PA
Zip : 15213-3108
Country : US
Telephone Number : 412-683-7272
Fax Number : 412-683-0341
Provider Business Practice Location Address
First Line : 300 HALKET ST
Second Line : RENAISSANCE ORTHOPAEDICS, SUITE 1601
City : PITTSBURGH
State : PA
Zip : 15213-3108
Country : US
Telephone Number : 412-683-7272
Fax Number : 412-683-0341
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/09/2005
Last Update Date : 07/08/2007

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