Provider Demographics
NPI:1851390710
Name:ARMANIOUS, MARK W (PA-C)
Entity Type:Individual
Prefix:MR
First Name:MARK
Middle Name:W
Last Name:ARMANIOUS
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Gender:M
Credentials:PA-C
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Mailing Address - Street 1:490 E NORTH AVE
Mailing Address - Street 2:SUITE 302 ALLEG THORACIC & CARDIOVASCULAR ASSOCS
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15212-4740
Mailing Address - Country:US
Mailing Address - Phone:412-359-8820
Mailing Address - Fax:412-359-8222
Practice Address - Street 1:490 E NORTH AVE
Practice Address - Street 2:SUITE 302 ALLEG THORACIC & CARDIOVASCULAR ASSOCS
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15212-4740
Practice Address - Country:US
Practice Address - Phone:412-359-8820
Practice Address - Fax:412-359-8222
Is Sole Proprietor?:No
Enumeration Date:2005-07-21
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
PAMA000342L363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAQ08368Medicare UPIN