Provider Demographics
NPI:1649231796
Name:GURSKY, ANDREW EDWARD (MD)
Entity Type:Individual
Prefix:
First Name:ANDREW
Middle Name:EDWARD
Last Name:GURSKY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:300 WEYMAN RD
Mailing Address - Street 2:SUITE 460
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15236-1520
Mailing Address - Country:US
Mailing Address - Phone:412-882-2800
Mailing Address - Fax:412-882-3565
Practice Address - Street 1:300 WEYMAN RD
Practice Address - Street 2:SUITE 460
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15236-1520
Practice Address - Country:US
Practice Address - Phone:412-882-2800
Practice Address - Fax:412-882-3565
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD022949L208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAE63124Medicare UPIN