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NPI Code Detail

MEDICARE: JENNIFER FIERLE

MEDICARE:   JENNIFER  FIERLE
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
1207Q00000XFamily Medicine PhysicianOS013892PA

General Provider Information

NPI Number : 1962687178
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER FIERLE
Provider Business Mailing Address
First Line : 619 MOUNT ROYAL BLVD
Second Line : SUITE 1004
City : PITTSBURGH
State : PA
Zip : 15223-1225
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 619 MOUNT ROYAL BLVD
Second Line : SUITE 1004
City : PITTSBURGH
State : PA
Zip : 15223-1225
Country : US
Telephone Number : 412-487-4422
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/07/2008
Last Update Date : 04/06/2021

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Directions to “ JENNIFER FIERLE ” Practice Location

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