Basic Information
| Provider Information | |||||||||
| NPI: | 1649271792 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SCIOSCIA | ||||||||
| FirstName: | EUGENE | ||||||||
| MiddleName: | A | ||||||||
| NamePrefix: | |||||||||
| NameSuffix: | JR. | ||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1307 FEDERAL ST STE B200 | ||||||||
| Address2: | |||||||||
| City: | PITTSBURGH | ||||||||
| State: | PA | ||||||||
| PostalCode: | 152124762 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4123224545 | ||||||||
| FaxNumber: | 4123224546 | ||||||||
| Practice Location | |||||||||
| Address1: | 1307 FEDERAL ST STE B200 | ||||||||
| Address2: | |||||||||
| City: | PITTSBURGH | ||||||||
| State: | PA | ||||||||
| PostalCode: | 152124762 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4123224545 | ||||||||
| FaxNumber: | 4123224546 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/10/2005 | ||||||||
| LastUpdateDate: | 08/05/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 08/05/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207V00000X | MD043452E | PA | Y | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology |
No ID Information.