Provider Demographics
NPI:1164643284
Name:DRS. JOSEPH MARKO AND JEFFREY KLINK
Entity Type:Organization
Organization Name:DRS. JOSEPH MARKO AND JEFFREY KLINK
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:
Authorized Official - Last Name:EVANICK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-281-7331
Mailing Address - Street 1:239 4TH AVE
Mailing Address - Street 2:SUITE 1907
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15222-1706
Mailing Address - Country:US
Mailing Address - Phone:412-281-7330
Mailing Address - Fax:
Practice Address - Street 1:239 4TH AVE
Practice Address - Street 2:SUITE 1907
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15222-1706
Practice Address - Country:US
Practice Address - Phone:412-281-7330
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental