Provider Demographics
NPI:1144618422
Name:JOSEPH SANTIESTEBAN MD AND ASSOCIATES LLC
Entity Type:Organization
Organization Name:JOSEPH SANTIESTEBAN MD AND ASSOCIATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSPEH
Authorized Official - Middle Name:A
Authorized Official - Last Name:SANTIESTEBAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:412-642-1800
Mailing Address - Street 1:5426 MIFFLIN RD
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15207-2350
Mailing Address - Country:US
Mailing Address - Phone:412-462-1800
Mailing Address - Fax:412-462-5006
Practice Address - Street 1:5426 MIFFLIN RD
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15207-2350
Practice Address - Country:US
Practice Address - Phone:412-462-1800
Practice Address - Fax:412-462-5006
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-08
Last Update Date:2015-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD039877L207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty