Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208G00000X | Cardiothoracic Vascular Surgeon | MD470666 | PA |
NPI | 1023582418 |
---|---|
Provider Name | Luciana Da Fonseca Da Silva |
First Address | Pittsburgh, PA 15224-2207 |
Second Address | Pittsburgh, PA 15224-1334 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/01/2019 |
Last Update Date | 17/06/2021 |