Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223D0004X | Dentist Anesthesiologist | DA031798 | PA |
NPI | 1194264788 |
---|---|
Provider Name | Christa Marano |
First Address | Pittsburgh, PA 15213-2523 |
Second Address | Slippery Rock, PA 16057-1247 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/02/2017 |
Last Update Date | 28/08/2018 |