TAMARA FAZZOLARE NPI 1245363514

NPI Information

NPI: 1245363514
Provider Name: TAMARA FAZZOLARE
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

Organization: UNIVERSITY OF PITTSBURGH PHYSICIANS

PECOS Registration: Yes

Address:
3705 5TH AVE
PITTSBURGH, PA
ZIP 15213
Phone: (412) 692-7280
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Tamara Fazzolare is a surgical physician assistant in Pittsburgh, PA with 18 years of experience. Tamara Fazzolare NPI is 1245363514. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3705 5TH AVE
PITTSBURGH, PA
ZIP 15213-584
Phone: (412) 692-7280

The NPI 1245363514 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/14/2007 and was last updated on 6/15/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AS0400X	Physician Assistant	Surgical	MA003078L	PENNSYLVANIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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