Provider Demographics
NPI:1144396177
Name:PASQUAL ASSOCIATES
Entity Type:Organization
Organization Name:PASQUAL ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HARRY
Authorized Official - Middle Name:P
Authorized Official - Last Name:PASQUAL
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:412-563-5100
Mailing Address - Street 1:603 WASHINGTON RD
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15228-1909
Mailing Address - Country:US
Mailing Address - Phone:412-563-5100
Mailing Address - Fax:412-563-5113
Practice Address - Street 1:603 WASHINGTON ROAD
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15228-1909
Practice Address - Country:US
Practice Address - Phone:412-563-5100
Practice Address - Fax:412-563-5113
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS024177L204E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes204E00000XAllopathic & Osteopathic PhysiciansOral & Maxillofacial SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0005438560004Medicaid
PA0005438560004Medicaid