Provider Demographics
NPI:1275739153
Name:SOUTHWESTERN PENNSYLVANIA INTENSIVE CARE ASSOCIATES PC
Entity Type:Organization
Organization Name:SOUTHWESTERN PENNSYLVANIA INTENSIVE CARE ASSOCIATES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:FREEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:412-788-4995
Mailing Address - Street 1:1 PENN CTR W
Mailing Address - Street 2:STE 307
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15276-0109
Mailing Address - Country:US
Mailing Address - Phone:412-788-4995
Mailing Address - Fax:412-788-0250
Practice Address - Street 1:1 PENN CTR W
Practice Address - Street 2:STE 307
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15276-0109
Practice Address - Country:US
Practice Address - Phone:412-788-4995
Practice Address - Fax:412-788-0250
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-26
Last Update Date:2008-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care MedicineGroup - Single Specialty