Provider Demographics
NPI:1497100820
Name:IMBARLINA, ANTONIO JR (DO)
Entity Type:Individual
Prefix:
First Name:ANTONIO
Middle Name:
Last Name:IMBARLINA
Suffix:JR
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2585 FREEPORT RD STE 105
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15238-1426
Mailing Address - Country:US
Mailing Address - Phone:412-235-5885
Mailing Address - Fax:412-235-5886
Practice Address - Street 1:2585 FREEPORT RD STE 105
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15238-1426
Practice Address - Country:US
Practice Address - Phone:412-235-5885
Practice Address - Fax:412-235-5886
Is Sole Proprietor?:No
Enumeration Date:2016-05-04
Last Update Date:2022-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS022094208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation