Provider Demographics
NPI:1770592354
Name:SECOSKY, JOSEPH J (MD)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:J
Last Name:SECOSKY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 YOST BLVD
Mailing Address - Street 2:FOREST HILLS PLAZA- SUITE 216
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15221-5283
Mailing Address - Country:US
Mailing Address - Phone:412-672-9781
Mailing Address - Fax:412-672-3754
Practice Address - Street 1:1433 FAWCETT AVE
Practice Address - Street 2:
Practice Address - City:MCKEESPORT
Practice Address - State:PA
Practice Address - Zip Code:15131-1507
Practice Address - Country:US
Practice Address - Phone:412-672-9781
Practice Address - Fax:412-672-3754
Is Sole Proprietor?:No
Enumeration Date:2006-08-05
Last Update Date:2011-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD036915E174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1629728OtherHIGHMARK
060060794OtherRAILROAD MEDICARE
4482121OtherAETNA
100016OtherUPMC
62405OtherUNISON-PCP
PA0014676410002Medicaid
75837OtherUNISON-SPECIALIST
100016OtherUPMC
75837OtherUNISON-SPECIALIST