Provider Demographics
NPI:1952629222
Name:RICHARD A. RECTENWALD, PC
Entity Type:Organization
Organization Name:RICHARD A. RECTENWALD, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:ALBERT
Authorized Official - Last Name:RECTENWALD
Authorized Official - Suffix:JR
Authorized Official - Credentials:DPM
Authorized Official - Phone:412-681-5600
Mailing Address - Street 1:160 N CRAIG ST
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15213-2716
Mailing Address - Country:US
Mailing Address - Phone:412-681-5600
Mailing Address - Fax:412-681-2176
Practice Address - Street 1:160 N CRAIG ST
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15213-2716
Practice Address - Country:US
Practice Address - Phone:412-681-5600
Practice Address - Fax:412-681-2176
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-12
Last Update Date:2016-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASC002488L213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty