Provider Demographics
NPI:1184644957
Name:IRVIN, FRANCES ELIZABETH (MD)
Entity Type:Individual
Prefix:DR
First Name:FRANCES
Middle Name:ELIZABETH
Last Name:IRVIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1789 S BRADDOCK AVE STE 380
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15218-1883
Mailing Address - Country:US
Mailing Address - Phone:412-727-6478
Mailing Address - Fax:412-727-6530
Practice Address - Street 1:1789 S BRADDOCK AVE STE 380
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15218-1883
Practice Address - Country:US
Practice Address - Phone:412-727-6478
Practice Address - Fax:412-727-6530
Is Sole Proprietor?:No
Enumeration Date:2006-07-21
Last Update Date:2022-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD053617L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0017045030001Medicaid
PA0017045030001Medicaid
PAG08373Medicare UPIN