Provider Demographics
NPI:1114927621
Name:ARACRI, JOSEPH F (DO)
Entity Type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:F
Last Name:ARACRI
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:969 GREENTREE RD
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15220-3303
Mailing Address - Country:US
Mailing Address - Phone:412-922-5250
Mailing Address - Fax:412-920-8162
Practice Address - Street 1:969 GREENTREE RD STE 100
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15220-3328
Practice Address - Country:US
Practice Address - Phone:412-922-5250
Practice Address - Fax:412-920-8162
Is Sole Proprietor?:No
Enumeration Date:2005-07-26
Last Update Date:2020-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA05008924L208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001679142004Medicaid
PA001679142004Medicaid