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NPI Code Detail

MEDICARE: H. JANE BRECK MD

MEDICARE: H. JANE BRECK MD
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
1208000000XPediatrics PhysicianMD010551EPA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1851394001
Entity Type Code : Individual
Provider Name (Legal Business Name) : H. JANE BRECK MD
Provider Business Mailing Address
First Line : 11279 PERRY HWY
Second Line : STE 450
City : WEXFORD
State : PA
Zip : 15090-9303
Country : US
Telephone Number : 724-933-1100
Fax Number : 724-933-1160
Provider Business Practice Location Address
First Line : 5608 WILKINS AVE
Second Line : STE 202
City : PITTSBURGH
State : PA
Zip : 15217-1212
Country : US
Telephone Number : 412-422-3590
Fax Number : 412-422-3759
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2005
Last Update Date : 07/08/2007

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