MEDICARE: ASSOCIATES IN INFECTIOUS DISEASE AND TROPICAL MEDICINE INC

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	174400000X	Specialist
2	207RI0200X	Infectious Disease Physician	MD017686E

General Provider Information

NPI Number	:	1801897145
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ASSOCIATES IN INFECTIOUS DISEASE AND TROPICAL MEDICINE INC

Provider Business Mailing Address
First Line	:	PO BOX 38721
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15238-8721
Country	:	US
Telephone Number	:	724-527-1975
Fax Number	:	724-527-6589

Provider Business Practice Location Address
First Line	:	5230 CENTRE AVE
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15232-1304
Country	:	US
Telephone Number	:	412-661-1633
Fax Number	:	412-661-1631

Authorized Official
Title or Position	:	MANAGER
Name	:	MRS. SARA A IEZZI
Credential	:	D
Telephone Number	:	724-527-1975

Provider Enumeration Date	:	08/09/2005
Last Update Date	:	04/27/2015

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