Provider Demographics
NPI:1295038602
Name:CONWAY, TERA SUE (MD)
Entity Type:Individual
Prefix:DR
First Name:TERA
Middle Name:SUE
Last Name:CONWAY
Suffix:
Gender:F
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:1000 BOWER HILL RD
Mailing Address - Street 2:ATTN ST CLAIR HOSPITAL - AFFILIATE BILLING - PAMALYN
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15243-1873
Mailing Address - Country:US
Mailing Address - Phone:412-942-2548
Mailing Address - Fax:
Practice Address - Street 1:6000 STEUBENVILLE PIKE
Practice Address - Street 2:SUITE 105
Practice Address - City:MC KEES ROCKS
Practice Address - State:PA
Practice Address - Zip Code:15136-1353
Practice Address - Country:US
Practice Address - Phone:412-788-1330
Practice Address - Fax:412-788-4290
Is Sole Proprietor?:No
Enumeration Date:2010-12-08
Last Update Date:2021-05-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD448385207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology