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NPI Code Detail

MEDICARE: MR. BRIAN CHRISTOPHER MOLCAN LSW

MEDICARE: MR. BRIAN CHRISTOPHER MOLCAN LSW
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
1104100000XSocial WorkerSW123708PA

General Provider Information

NPI Number : 1891944682
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. BRIAN CHRISTOPHER MOLCAN LSW
Provider Business Mailing Address
First Line : 64 HIGH STREET
Second Line :
City : PITTSBURGH
State : PA
Zip : 15223-1949
Country : US
Telephone Number : 412-772-1642
Fax Number :
Provider Business Practice Location Address
First Line : 301 MEADE ST
Second Line :
City : PITTSBURGH
State : PA
Zip : 15221-2131
Country : US
Telephone Number : 412-436-0406
Fax Number : 412-436-1315
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/16/2008
Last Update Date : 08/16/2012

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