Provider Demographics
NPI:1932194206
Name:PARE, AMELIA ARIANNE (MD)
Entity Type:Individual
Prefix:
First Name:AMELIA
Middle Name:ARIANNE
Last Name:PARE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2535 WASHINGTON RD
Mailing Address - Street 2:SUITE 1121
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15241-2592
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2535 WASHINGTON RD
Practice Address - Street 2:SUITE 1121
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15241-2592
Practice Address - Country:US
Practice Address - Phone:412-831-2554
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD068364L208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0017879450006Medicaid
031501Medicare ID - Type Unspecified
PA0017879450006Medicaid