| NPI | 1528480720 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINCENT LUCCHETTI Administrator 412-882-9455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: PA MA056618) |
| Enumeration Date | 2014-01-08 |
| Last Update Date | 2014-01-08 |