Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | MD059519L | PA |
Y | 2080P0205X | Pediatric Endocrinologist | MD059519L | PA |
NPI | 1124061973 |
---|---|
Provider Name | Dr. Vered D Lewy-Weiss |
First Address | Monroeville, PA 15146-2338 |
Second Address | Pittsburgh, PA 15224-1334 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/06/2006 |
Last Update Date | 30/11/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0017990420004 | (05) | PA |
2576298 | (05) | OH |
H04437 | (02) |