Provider Demographics
NPI:1710045570
Name:TAMARA L. WETTERMANN PRICE, MD, P.C.
Entity Type:Organization
Organization Name:TAMARA L. WETTERMANN PRICE, MD, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:TAMARA
Authorized Official - Middle Name:LW
Authorized Official - Last Name:PRICE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:412-299-5540
Mailing Address - Street 1:400 ROUSER RD
Mailing Address - Street 2:BUILDING 2, SUITE 102
Mailing Address - City:MOON TOWNSHIP
Mailing Address - State:PA
Mailing Address - Zip Code:15108-2842
Mailing Address - Country:US
Mailing Address - Phone:412-299-5540
Mailing Address - Fax:412-299-5542
Practice Address - Street 1:400 ROUSER RD
Practice Address - Street 2:BUILDING 2, SUITE 102
Practice Address - City:MOON TOWNSHIP
Practice Address - State:PA
Practice Address - Zip Code:15108-2842
Practice Address - Country:US
Practice Address - Phone:412-299-5540
Practice Address - Fax:412-299-5542
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-05
Last Update Date:2007-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD048296L207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty