Dirico, Jr., Domenick E.

Dirico, Jr., Domenick E. is an individual health care provider with primary practice located at 320 E North Ave , Pittsburgh PA 15212-4756. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Dirico, Jr., Domenick E. can be contacted via phone (412) 359-3131.

Contact Information

Primary practice address
320 E North Ave Pittsburgh PA 15212-4756
Phone: (412) 359-3131
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X MD044470E Pennsylvania

Profile Details

NPI number 1669445599
LBN Legal business name Dirico, Jr., Domenick E.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 10th, 2006
Last updated Oct 19th, 2007 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669445599 NPPES
Pennsylvania MEDICAID 0016375630008
Pennsylvania MEDICAID 1841455000
Pennsylvania MEDICAID 2365266

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