Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | MD436314 | PA |
NPI | 1104039783 |
---|---|
Provider Name | Merritt Fajt |
First Address | Pittsburgh, PA 15213-3236 |
Second Address | Pittsburgh, PA 15213-3236 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/05/2007 |
Last Update Date | 25/03/2021 |