Provider Demographics
NPI:1578508867
Name:PITTSBURGH CARDIAC & VASCULAR ASSOCIATES PC
Entity Type:Organization
Organization Name:PITTSBURGH CARDIAC & VASCULAR ASSOCIATES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:TAMARA
Authorized Official - Middle Name:L
Authorized Official - Last Name:HALL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-264-9500
Mailing Address - Street 1:995 BEAVER GRADE RD
Mailing Address - Street 2:SUITE B2
Mailing Address - City:CORAOPOLIS
Mailing Address - State:PA
Mailing Address - Zip Code:15108-2766
Mailing Address - Country:US
Mailing Address - Phone:412-264-9500
Mailing Address - Fax:412-264-8999
Practice Address - Street 1:995 BEAVER GRADE RD
Practice Address - Street 2:SUITE B2
Practice Address - City:CORAOPOLIS
Practice Address - State:PA
Practice Address - Zip Code:15108-2766
Practice Address - Country:US
Practice Address - Phone:412-264-9500
Practice Address - Fax:412-264-8999
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS005112L207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty