Basic Information
Provider Information
NPI: 1366423931
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CULIG
FirstName: CARL
MiddleName: A.
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 320 E NORTH AVE
Address2:  
City: PITTSBURGH
State: PA
PostalCode: 152124756
CountryCode: US
TelephoneNumber: 4123593751
FaxNumber: 4123598439
Practice Location
Address1: ALLEGHENY VALLEY SCHOOL
Address2: 1992 EWINGS MILL RD
City: CORAOPOLIS
State: PA
PostalCode: 15108
CountryCode: US
TelephoneNumber: 4123065212
FaxNumber: 4122620935
Other Information
ProviderEnumerationDate: 11/09/2005
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000XMD025311EPAY Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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