| Hertzler & Russo Pc | |
|
10493 Frankstown Road Pittsburgh PA 15235 | |
| (412) 371-2442 | |
| (412) 371-3892 |
| Full Name | Hertzler & Russo Pc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 10493 Frankstown Road, Pittsburgh, Pennsylvania |
| Authorized Official Name and Position | Phillip Nicholas Russo (OWNER SECRETARY) |
| Authorized Official Contact | 4123712442 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hertzler & Russo Pc 10493 Frankstown Road Pittsburgh PA 15235 Ph: (412) 371-2442 | Hertzler & Russo Pc 10493 Frankstown Road Pittsburgh PA 15235 Ph: (412) 371-2442 |
| NPI Number | 1013011352 |
|---|---|
| Provider Enumeration Date | 09/08/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013011352 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DS026260L (Pennsylvania) | Primary |
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | DS019248L (Pennsylvania) | Primary |
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