Charles L. Pucevich, M.D.

LBN: Charles L. Pucevich, M.D.
Charles L. Pucevich, M.D. is an health care organization with primary practice located at 935 Thorn Run Rd , Coraopolis PA 15108-2861. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as the primary health care specialty. Charles L. Pucevich, M.D. can be contacted via phone (412) 262-1064, or through Hall, Jacquie via phone (412) 262-1064.

Contact Information

Primary practice address
935 Thorn Run Rd Coraopolis PA 15108-2861
Phone: (412) 262-1064
Fax: (412) 262-3904
Website:
Map and Directions
Authorized official contact:
Name: Hall, Jacquie
Phone: (412) 262-1064

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X MD027250E Pennsylvania

Profile Details

NPI number 1780731133
LBN Legal business name Charles L. Pucevich, M.D.
DBA Doing business as
Authorized official Hall, Jacquie
Entity Organization
Organization subpart 1 No
Enumeration date Jan 5th, 2007
Last updated Jul 7th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780731133 NPPES
Pennsylvania MEDICAID 0008635880001

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