MEDICARE: HANDELSMAN FAMILY PRACTICE, LLC

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	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1922215557
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HANDELSMAN FAMILY PRACTICE, LLC

Provider Business Mailing Address
First Line	:	3212 MAIN ST
Second Line	:
City	:	MUNHALL
State	:	PA
Zip	:	15120-3230
Country	:	US
Telephone Number	:	412-462-7700
Fax Number	:	412-462-7949

Provider Business Practice Location Address
First Line	:	3212 MAIN ST
Second Line	:
City	:	MUNHALL
State	:	PA
Zip	:	15120-3230
Country	:	US
Telephone Number	:	412-462-7700
Fax Number	:	412-462-7949

Authorized Official
Title or Position	:	PRESIDENT
Name	:	GORDON L HANDELSMAN
Credential	:	M.D.
Telephone Number	:	412-462-7700

Provider Enumeration Date	:	05/16/2007
Last Update Date	:	08/22/2020

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