Provider Demographics
NPI:1114269594
Name:TRZEBUCKI, ALEX MARSHAL (MD)
Entity Type:Individual
Prefix:
First Name:ALEX
Middle Name:MARSHAL
Last Name:TRZEBUCKI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3601 5TH AVE BLDG SUITE5A
Mailing Address - Street 2:FALK CLINIC SUITE 700
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15213-3403
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3601 5TH AVE BLDG SUITE5A
Practice Address - Street 2:FALK CLINIC SUITE 700
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15213-3403
Practice Address - Country:US
Practice Address - Phone:412-648-6273
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-03-22
Last Update Date:2023-12-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD471206207RI0200X
NY283972207RI0200X
VA0101270860207RI0200X
WV31056207R00000X
NC2021-02368207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA38985Medicare UPIN