Basic Information
| Provider Information | |||||||||
| NPI: | 1306257977 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | DINCHER | ||||||||
| FirstName: | JEREMY | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 701 TECHNOLOGY DR STE 150 | ||||||||
| Address2: | |||||||||
| City: | CANONSBURG | ||||||||
| State: | PA | ||||||||
| PostalCode: | 153179531 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4125312902 | ||||||||
| FaxNumber: | 4125312948 | ||||||||
| Practice Location | |||||||||
| Address1: | 1050 BOWER HILL RD STE 202 | ||||||||
| Address2: | |||||||||
| City: | PITTSBURGH | ||||||||
| State: | PA | ||||||||
| PostalCode: | 152431867 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4125726122 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 05/16/2014 | ||||||||
| LastUpdateDate: | 02/25/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 02/25/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | MD462371 | PA | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.