MEDICARE: MR. PETER ANTHONY BRAASCH M.AC., L.AC.

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	171100000X	Acupuncturist	KO000599	PA

General Provider Information

NPI Number	:	1831448695
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. PETER ANTHONY BRAASCH M.AC., L.AC.

Provider Business Mailing Address
First Line	:	1817 MURDOCH RD
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15217-1531
Country	:	US
Telephone Number	:	412-400-8135
Fax Number	:

Provider Business Practice Location Address
First Line	:	2301 MURRAY AVE
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15217-2355
Country	:	US
Telephone Number	:	412-400-8135
Fax Number	:

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

Provider Enumeration Date	:	09/06/2012
Last Update Date	:	09/06/2012

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