Provider Demographics
NPI:1508261629
Name:NEIL NIREN MD PC
Entity Type:Organization
Organization Name:NEIL NIREN MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NEIL
Authorized Official - Middle Name:
Authorized Official - Last Name:NIREN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:412-788-8007
Mailing Address - Street 1:135 CUMBERLAND RD
Mailing Address - Street 2:SUITE 206
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15237-5447
Mailing Address - Country:US
Mailing Address - Phone:412-788-8007
Mailing Address - Fax:412-788-0250
Practice Address - Street 1:135 CUMBERLAND RD
Practice Address - Street 2:SUITE 206
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15237-5447
Practice Address - Country:US
Practice Address - Phone:412-788-8007
Practice Address - Fax:412-788-0250
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-31
Last Update Date:2014-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty