Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | MD032182E | PA |
NPI | 1063475945 |
---|---|
Provider Name | Dr. Stasia L Miaskiewicz |
First Address | Pittsburgh, PA 15212-4769 |
Second Address | Pittsburgh, PA 15212-4769 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/04/2006 |
Last Update Date | 26/04/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
001243925 | (05) | PA |
E64195 | (02) | PA |