Provider Demographics
NPI:1477563468
Name:METZGER, DIANA L (MD)
Entity type:Individual
Prefix:
First Name:DIANA
Middle Name:L
Last Name:METZGER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:40 AARON LN
Mailing Address - Street 2:
Mailing Address - City:INDIANA
Mailing Address - State:PA
Mailing Address - Zip Code:15701-2338
Mailing Address - Country:US
Mailing Address - Phone:724-388-1724
Mailing Address - Fax:724-471-2487
Practice Address - Street 1:UPMC NORTHWEST
Practice Address - Street 2:100 FAIRFIELD DR
Practice Address - City:SENECA
Practice Address - State:PA
Practice Address - Zip Code:16346
Practice Address - Country:US
Practice Address - Phone:978-573-7673
Practice Address - Fax:888-446-6629
Is Sole Proprietor?:No
Enumeration Date:2006-08-09
Last Update Date:2022-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD 055648L207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
F73344Medicare UPIN
055157Medicare ID - Type Unspecified