Provider Demographics
NPI:1972536985
Name:CARDIOVASCULAR DISEASE SPECIALISTS OF PITTSBURGH, PC
Entity Type:Organization
Organization Name:CARDIOVASCULAR DISEASE SPECIALISTS OF PITTSBURGH, PC
Other - Org Name:ABE W. FRIEDMAN, MD PC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JACK
Authorized Official - Middle Name:ERNEST
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:412-469-7788
Mailing Address - Street 1:5750 CENTRE AVENUE
Mailing Address - Street 2:SUITE 510
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15206
Mailing Address - Country:US
Mailing Address - Phone:412-924-1100
Mailing Address - Fax:412-924-1111
Practice Address - Street 1:5750 CENTRE AVENUE
Practice Address - Street 2:SUITE 510
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15206
Practice Address - Country:US
Practice Address - Phone:412-924-1100
Practice Address - Fax:412-924-1111
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-10
Last Update Date:2014-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0011236500008Medicaid
PA037534OtherHIGHMARK
PACI1016OtherRAILROAD MEDICARE
PA0011236500008Medicaid