Basic Information
| Provider Information | |||||||||
| NPI: | 1336179548 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | PAUL J KILLIAN ROBERT BUCKINGHAM | ||||||||
| LastName: | |||||||||
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| OtherOrganizationName: | ARTHRITIS AND RHEUMATIC DISEASE | ||||||||
| OtherOrganizationType: | 3 | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2580 HAYMAKER RD | ||||||||
| Address2: | SUITE102 | ||||||||
| City: | MONROEVILLE | ||||||||
| State: | PA | ||||||||
| PostalCode: | 151463518 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4128569142 | ||||||||
| FaxNumber: | 4128569144 | ||||||||
| Practice Location | |||||||||
| Address1: | 2580 HAYMAKER RD | ||||||||
| Address2: | SUITE102 | ||||||||
| City: | MONROEVILLE | ||||||||
| State: | PA | ||||||||
| PostalCode: | 151463518 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4128569142 | ||||||||
| FaxNumber: | 4128569144 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/04/2006 | ||||||||
| LastUpdateDate: | 11/18/2010 | ||||||||
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| AuthorizedOfficialLastName: | SPECE | ||||||||
| AuthorizedOfficialFirstName: | MARY | ||||||||
| AuthorizedOfficialMiddleName: | R | ||||||||
| AuthorizedOfficialTitleorPosition: | MANAGER | ||||||||
| AuthorizedOfficialTelephone: | 4128569142 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MRS. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RR0500X | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Internal Medicine | Rheumatology |
No ID Information.