Cerejo, Russell Mitesh
Cerejo, Russell Mitesh is an sole proprietor health care provider with primary practice located at 320 E North Ave Ste 208 , Pittsburgh PA 15212-4756. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular Neurology, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Cerejo, Russell Mitesh can be contacted via phone (412) 359-8850.Contact Information
Primary practice address
320 E North Ave Ste 208
Pittsburgh PA 15212-4756
Phone: (412) 359-8850
Fax: (412) 359-8878
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular Neurology | 2084V0102X | MD462463 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | MD462463 | Pennsylvania |
Profile Details
| NPI number | 1265750715 |
|---|---|
| LBN Legal business name | Cerejo, Russell Mitesh |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 8th, 2010 |
| Last updated | Sep 30th, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265750715 | NPPES |
| Other | 14050329 | CAQH |
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