Provider Demographics
NPI:1932566767
Name:SCHUSTER, MAURA (LOM)
Entity Type:Individual
Prefix:
First Name:MAURA
Middle Name:
Last Name:SCHUSTER
Suffix:
Gender:F
Credentials:LOM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1214 PALO ALTO ST
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15212-4515
Mailing Address - Country:US
Mailing Address - Phone:412-841-2065
Mailing Address - Fax:
Practice Address - Street 1:4284 WILLIAM FLYNN HWY
Practice Address - Street 2:103
Practice Address - City:ALLISON PARK
Practice Address - State:PA
Practice Address - Zip Code:15101-1439
Practice Address - Country:US
Practice Address - Phone:412-841-2065
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-25
Last Update Date:2016-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOM000158171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist