Provider Demographics
NPI:1689674822
Name:TUWG, ALFRED S (MD)
Entity Type:Individual
Prefix:
First Name:ALFRED
Middle Name:S
Last Name:TUWG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 157
Mailing Address - Street 2:
Mailing Address - City:GRAPEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15634-0157
Mailing Address - Country:US
Mailing Address - Phone:724-527-6517
Mailing Address - Fax:724-527-6519
Practice Address - Street 1:1000 INTERGRITY DR
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15238
Practice Address - Country:US
Practice Address - Phone:724-527-6517
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-29
Last Update Date:2007-07-08
Deactivation Date:2006-03-29
Deactivation Code:
Reactivation Date:2006-03-29
Provider Licenses
StateLicense IDTaxonomies
PAMD034440L207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA007455200001Medicaid
PA128230Medicare ID - Type Unspecified
B37493Medicare UPIN