Provider Demographics
NPI:1588184345
Name:BLITSTEIN, ALAN (MD 031515L)
Entity Type:Individual
Prefix:DR
First Name:ALAN
Middle Name:
Last Name:BLITSTEIN
Suffix:
Gender:M
Credentials:MD 031515L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6500 DARLINGTON RD
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15217-1840
Mailing Address - Country:US
Mailing Address - Phone:412-421-1040
Mailing Address - Fax:
Practice Address - Street 1:6500 DARLINGTON RD
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15217-1840
Practice Address - Country:US
Practice Address - Phone:412-421-1040
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-22
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD031515L208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics