Provider Demographics
NPI:1245675891
Name:SKIN BEAUTIFUL MEDICAL SPA RPLLC
Entity type:Organization
Organization Name:SKIN BEAUTIFUL MEDICAL SPA RPLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:SIGI
Authorized Official - Middle Name:
Authorized Official - Last Name:LOYA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-432-7909
Mailing Address - Street 1:2541 E CARSON ST
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15203-2186
Mailing Address - Country:US
Mailing Address - Phone:412-432-7909
Mailing Address - Fax:412-202-2304
Practice Address - Street 1:2541 E CARSON ST
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15203-2186
Practice Address - Country:US
Practice Address - Phone:412-432-7909
Practice Address - Fax:412-202-2304
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-08
Last Update Date:2013-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty