Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 224P00000X | Prosthetist | PO000022 | PA |
NPI | 1114415809 |
---|---|
Provider Name | Gregory George Reich |
First Address | Pittsburgh, PA 15236-3504 |
Second Address | Pittsburgh, PA 15236-3504 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/04/2018 |
Last Update Date | 27/04/2018 |