Basic Information
Provider Information
NPI: 1306082532
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: FRIEND
FirstName: MELISSA
MiddleName: M
NamePrefix:  
NameSuffix:  
Credential: PA-C
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2 HOT METAL ST
Address2: QUANTUM BUILDING 1
City: PITTSBURGH
State: PA
PostalCode: 152032348
CountryCode: US
TelephoneNumber: 4124327400
FaxNumber: 4124327480
Practice Location
Address1: 2 HOT METAL ST
Address2: QUANTUM BUILDING 1
City: PITTSBURGH
State: PA
PostalCode: 152032348
CountryCode: US
TelephoneNumber: 4124327400
FaxNumber: 4124327480
Other Information
ProviderEnumerationDate: 12/17/2008
LastUpdateDate: 12/02/2014
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363AM0700XMA057227PAY Physician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical

No ID Information.


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