Provider Demographics
NPI:1396369765
Name:LIGOCKI, MARIUSZ (MD)
Entity Type:Individual
Prefix:
First Name:MARIUSZ
Middle Name:
Last Name:LIGOCKI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:705 SOUTH AIKEN AVENUE APT. 3
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15232
Mailing Address - Country:US
Mailing Address - Phone:516-343-0005
Mailing Address - Fax:
Practice Address - Street 1:DEPARTMENT OF ANESTHESIOLOGY AND PERIOPERATIVE MEDICINC
Practice Address - Street 2:SUITE 402 3471 FIFTH AVENUE KAUFMAN MEDICAL BUILDING
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15213
Practice Address - Country:US
Practice Address - Phone:412-692-4503
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-02
Last Update Date:2022-05-04
Deactivation Date:2022-01-18
Deactivation Code:
Reactivation Date:2022-05-02
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program