Basic Information
| Provider Information | |||||||||
| NPI: | 1285657569 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | ASSOCIATES IN ENDOCRINOLOGY PC | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 3445 | ||||||||
| Address2: | |||||||||
| City: | PITTSBURGH | ||||||||
| State: | PA | ||||||||
| PostalCode: | 152303445 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4129374619 | ||||||||
| FaxNumber: | 4129379221 | ||||||||
| Practice Location | |||||||||
| Address1: | 2000 OXFORD DR | ||||||||
| Address2: | |||||||||
| City: | BETHEL PARK | ||||||||
| State: | PA | ||||||||
| PostalCode: | 151021827 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4129422140 | ||||||||
| FaxNumber: | 4129426027 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/26/2006 | ||||||||
| LastUpdateDate: | 07/19/2021 | ||||||||
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| AuthorizedOfficialLastName: | BUONOCORE | ||||||||
| AuthorizedOfficialFirstName: | CAMILLE | ||||||||
| AuthorizedOfficialMiddleName: | M | ||||||||
| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 4129422140 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
| NPICertificationDate: | 07/19/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RE0101X | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Internal Medicine | Endocrinology, Diabetes & Metabolism |
ID Information
| ID | Type | State | Issuer | Description | 1016962350002 | 05 | PA | MEDICAID | DF0620 | 01 | PA | RR MEDICARE | OTHER | 000000185572 | 01 | PA | UNISON | OTHER | 1003050 | 01 | PA | GATEWAY | OTHER | 1880423 | 01 | PA | BCBS | OTHER |