Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213ES0103X | Foot & Ankle Surgery | PO3244 | FL |
Y | 213ES0103X | Foot & Ankle Surgery | SC 005675 | PA |
NPI | 1083683502 |
---|---|
Provider Name | Craig Alfred Conti |
First Address | Pittsburgh, PA 15224-1751 |
Second Address | Pittsburgh, PA 15224-1722 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/03/2006 |
Last Update Date | 08/07/2007 |