Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QG0300X | Family Doctor - Geriatric Medicine | MD438626 | PA |
NPI | 1235314428 |
---|---|
Provider Name | Amy Jo Diplacido |
First Address | Pittsburgh, PA 15209-2639 |
Second Address | Pittsburgh, PA 15209-2639 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/01/2008 |
Last Update Date | 26/04/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1235314428 | NPI (01) | PA |