Tallerico, Samuel Joseph

Tallerico, Samuel Joseph is an individual health care provider with primary practice located at 4815 Liberty Ave Suite G-25, Pittsburgh PA 15224-2156. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Tallerico, Samuel Joseph can be contacted via phone (412) 621-1566.

Contact Information

Primary practice address
4815 Liberty Ave Suite G-25 Pittsburgh PA 15224-2156
Phone: (412) 621-1566
Fax: (412) 621-8557
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD023858E Pennsylvania

Profile Details

NPI number 1538139589
LBN Legal business name Tallerico, Samuel Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2006
Last updated Feb 7th, 2008 - about 18 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 1538139589 NPPES
Pennsylvania MEDICAID 1016420380001

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