Provider Demographics
NPI:1801924204
Name:CHILDREN'S HOSPITAL OF PITTSBURGH
Entity type:Organization
Organization Name:CHILDREN'S HOSPITAL OF PITTSBURGH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROFESSOR OF PEDIATRICS
Authorized Official - Prefix:DR
Authorized Official - First Name:ALEJANDRO
Authorized Official - Middle Name:
Authorized Official - Last Name:HOBERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-692-5478
Mailing Address - Street 1:425 MCKEAN DR
Mailing Address - Street 2:
Mailing Address - City:WEXFORD
Mailing Address - State:PA
Mailing Address - Zip Code:15090-7327
Mailing Address - Country:US
Mailing Address - Phone:724-933-0270
Mailing Address - Fax:
Practice Address - Street 1:3420 5TH AVENUE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15213-2583
Practice Address - Country:US
Practice Address - Phone:724-933-0270
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP001599-D261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center