Provider Demographics
NPI:1790748978
Name:FALKENSTEIN, GERALD PETER (DO)
Entity Type:Individual
Prefix:DR
First Name:GERALD
Middle Name:PETER
Last Name:FALKENSTEIN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 CLIFFMINE RD
Mailing Address - Street 2:SUITE 110
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15275-1022
Mailing Address - Country:US
Mailing Address - Phone:412-722-0102
Mailing Address - Fax:412-722-0106
Practice Address - Street 1:1000 CLIFFMINE RD
Practice Address - Street 2:SUITE 110
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15275-1022
Practice Address - Country:US
Practice Address - Phone:412-722-0102
Practice Address - Fax:412-722-0106
Is Sole Proprietor?:No
Enumeration Date:2006-04-10
Last Update Date:2010-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS010702L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
046398Medicare ID - Type Unspecified
PAH33134Medicare UPIN