Basic Information
| Provider Information | |||||||||
| NPI: | 1619229887 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | PHYSICIAN LANDING ZONE, P.C. | ||||||||
| LastName: | |||||||||
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| OtherOrganizationName: | DONALD M. KEENAN, M.D. | ||||||||
| OtherOrganizationType: | 3 | ||||||||
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| Mailing Information | |||||||||
| Address1: | 120 5TH AVE | ||||||||
| Address2: | SUITE 2516 | ||||||||
| City: | PITTSBURGH | ||||||||
| State: | PA | ||||||||
| PostalCode: | 152223000 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4125440818 | ||||||||
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| Practice Location | |||||||||
| Address1: | 2750 HAYMAKER ROAD | ||||||||
| Address2: | BUILDING 2 SUITE 303 | ||||||||
| City: | MONROEVILLE | ||||||||
| State: | PA | ||||||||
| PostalCode: | 15224 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4125781008 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 10/11/2012 | ||||||||
| LastUpdateDate: | 10/11/2012 | ||||||||
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| AuthorizedOfficialLastName: | GOLDFARB | ||||||||
| AuthorizedOfficialFirstName: | WILLIAM | ||||||||
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| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 4125787080 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | M.D. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208600000X | Y | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Surgery |
No ID Information.