Basic Information
| Provider Information | |||||||||
| NPI: | 1093725129 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | PITTSBURGH PULMONARY ASSOCIATES LTD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1200 BROOKS LANE | ||||||||
| Address2: | SUITE 130 | ||||||||
| City: | JEFFERSON HILLS | ||||||||
| State: | PA | ||||||||
| PostalCode: | 15025 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4124693600 | ||||||||
| FaxNumber: | 4124693630 | ||||||||
| Practice Location | |||||||||
| Address1: | 1200 BROOKS LANE | ||||||||
| Address2: | SUITE 130 | ||||||||
| City: | JEFFERSON HILLS | ||||||||
| State: | PA | ||||||||
| PostalCode: | 15025 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4124693600 | ||||||||
| FaxNumber: | 4124693630 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/09/2006 | ||||||||
| LastUpdateDate: | 08/13/2007 | ||||||||
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| AuthorizedOfficialLastName: | LAMAN | ||||||||
| AuthorizedOfficialFirstName: | DAVID | ||||||||
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| AuthorizedOfficialTitleorPosition: | CEO PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 4124693600 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RP1001X | N | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Internal Medicine | Pulmonary Disease | 207RC0200X | Y | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Internal Medicine | Critical Care Medicine |
No ID Information.