MEDICARE: CHERYL PETERSILGE

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	2085R0202X	Diagnostic Radiology Physician	MD467200	PA

General Provider Information

NPI Number	:	1942238449
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHERYL PETERSILGE

Provider Business Mailing Address
First Line	:	200 LOTHROP ST STE 700
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15213-2536
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	200 LOTHROP ST STE 700
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15213-2536
Country	:	US
Telephone Number	:	740-504-9671
Fax Number	:

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

Provider Enumeration Date	:	06/30/2006
Last Update Date	:	12/11/2025

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Directions to “ CHERYL PETERSILGE ” Practice Location

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