Provider Demographics
NPI:1942495825
Name:MERTZ, THOMAS L (DO, PHARMD)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:L
Last Name:MERTZ
Suffix:
Gender:M
Credentials:DO, PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2585 FREEPORT RD STE 210
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15238-1426
Mailing Address - Country:US
Mailing Address - Phone:412-828-3800
Mailing Address - Fax:412-828-8561
Practice Address - Street 1:2585 FREEPORT RD STE 210
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15238-1426
Practice Address - Country:US
Practice Address - Phone:412-828-3800
Practice Address - Fax:412-828-8561
Is Sole Proprietor?:No
Enumeration Date:2007-09-13
Last Update Date:2023-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT046528207R00000X, 208000000X
PAOS015695207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics