Provider Demographics
NPI:1013098615
Name:WOSTEIN, ALVIN J (DPM)
Entity Type:Individual
Prefix:
First Name:ALVIN
Middle Name:J
Last Name:WOSTEIN
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:56 S 21ST ST
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15203-1930
Mailing Address - Country:US
Mailing Address - Phone:412-381-5160
Mailing Address - Fax:412-381-5162
Practice Address - Street 1:1900 MURRAY AVENUE
Practice Address - Street 2:SUITE 302
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15217-1657
Practice Address - Country:US
Practice Address - Phone:412-521-7322
Practice Address - Fax:412-521-0912
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-18
Last Update Date:2008-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASC002673L213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0009633870004Medicaid
PAT30462Medicare UPIN
PA0387170001Medicare NSC
PA443425Medicare PIN