Provider Demographics
NPI:1720046394
Name:CATALANO, LOUIS WILLIAM JR (MD)
Entity Type:Individual
Prefix:
First Name:LOUIS
Middle Name:WILLIAM
Last Name:CATALANO
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:520 JEFFERSON AVE
Mailing Address - Street 2:SUITE 400
Mailing Address - City:JEANNETTE
Mailing Address - State:PA
Mailing Address - Zip Code:15644-2538
Mailing Address - Country:US
Mailing Address - Phone:724-527-8060
Mailing Address - Fax:724-522-4002
Practice Address - Street 1:433 FRYE FARM RD
Practice Address - Street 2:
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-7920
Practice Address - Country:US
Practice Address - Phone:724-537-0885
Practice Address - Fax:724-532-1931
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-03
Last Update Date:2017-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD010691E2084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0005976410005Medicaid
B37395Medicare UPIN
PA0005976410005Medicaid