Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 257021 | MA |
Y | 2080P0216X | Pediatric Rheumatologist | MT210378 | PA |
NPI | 1356774137 |
---|---|
Provider Name | Dr. Paul Alexander Tsoukas |
First Address | Pittsburgh, PA 15224-1334 |
Second Address | Pittsburgh, PA 15224-1334 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/08/2013 |
Last Update Date | 21/07/2016 |