Provider Demographics
NPI:1952395873
Name:DELIERE, EMIL A (MD)
Entity Type:Individual
Prefix:
First Name:EMIL
Middle Name:A
Last Name:DELIERE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:1200 BROOKS LN STE 180
Mailing Address - Street 2:
Mailing Address - City:JEFFERSON HILLS
Mailing Address - State:PA
Mailing Address - Zip Code:15025-3769
Mailing Address - Country:US
Mailing Address - Phone:412-469-3600
Mailing Address - Fax:412-469-3630
Practice Address - Street 1:1200 BROOKS LN
Practice Address - Street 2:SUITE 130
Practice Address - City:JEFFERSON HILLS
Practice Address - State:PA
Practice Address - Zip Code:15025-3747
Practice Address - Country:US
Practice Address - Phone:412-469-3600
Practice Address - Fax:412-469-3630
Is Sole Proprietor?:No
Enumeration Date:2005-09-07
Last Update Date:2018-04-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD029041E207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1460023Medicaid
PA1460023Medicaid
B41060Medicare UPIN