Provider Demographics
NPI:1770760282
Name:MARNIN E FISCHBACH MD PC
Entity type:Organization
Organization Name:MARNIN E FISCHBACH MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MARNIN
Authorized Official - Middle Name:ELI
Authorized Official - Last Name:FISCHBACH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:412-389-5227
Mailing Address - Street 1:1036 SUMMERSET DR
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15217-2537
Mailing Address - Country:US
Mailing Address - Phone:412-389-5227
Mailing Address - Fax:412-881-5335
Practice Address - Street 1:1036 SUMMERSET DR
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15217-2537
Practice Address - Country:US
Practice Address - Phone:412-389-5227
Practice Address - Fax:412-881-5335
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-28
Last Update Date:2008-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD-072287-L101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1043290521OtherPRACTITIONER NPI
1043290521OtherPRACTITIONER NPI