Provider Demographics
NPI:1639189087
Name:RECTENWALD, RICHARD ALBERT JR (DPM)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:ALBERT
Last Name:RECTENWALD
Suffix:JR
Gender:M
Credentials:DPM
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Mailing Address - Street 1:1568 HAZLETT RD
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15237-6360
Mailing Address - Country:US
Mailing Address - Phone:412-366-3040
Mailing Address - Fax:412-681-2176
Practice Address - Street 1:160 N CRAIG ST
Practice Address - Street 2:SUITE 100
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15213-2716
Practice Address - Country:US
Practice Address - Phone:412-681-5600
Practice Address - Fax:412-681-2176
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-08
Last Update Date:2016-04-02
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Provider Licenses
StateLicense IDTaxonomies
PASC002488L213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA000087142OtherHIGHMARK: DR. RECTENWALD
PA103911OtherUPMC HEALTH PLAN
PA78033OtherAETNA
PA000087142OtherHIGHMARK: DR. RECTENWALD