Basic Information
Provider Information
NPI: 1245248988
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SEGRETI
FirstName: EILEEN
MiddleName: M
NamePrefix: MRS.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 4815 LIBERTY AVE STE 310
Address2:  
City: PITTSBURGH
State: PA
PostalCode: 152242156
CountryCode: US
TelephoneNumber: 4125781116
FaxNumber: 4126056396
Practice Location
Address1: 4815 LIBERTY AVE STE 310
Address2:  
City: PITTSBURGH
State: PA
PostalCode: 152242156
CountryCode: US
TelephoneNumber: 4125781116
FaxNumber: 4126056396
Other Information
ProviderEnumerationDate: 08/04/2006
LastUpdateDate: 08/12/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 08/12/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207VX0201XMD422083PAY Allopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologic Oncology
2086X0206XMD422083PAN Allopathic & Osteopathic PhysiciansSurgerySurgical Oncology

No ID Information.


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