Provider Demographics
NPI:1063904282
Name:TELFER, SIOBHAN I (MD)
Entity type:Individual
Prefix:
First Name:SIOBHAN
Middle Name:I
Last Name:TELFER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3471 FIFTH AVENUE
Mailing Address - Street 2:SUITE 700
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15213
Mailing Address - Country:US
Mailing Address - Phone:412-692-4100
Mailing Address - Fax:412-692-4101
Practice Address - Street 1:3471 FIFTH AVENUE
Practice Address - Street 2:SUITE 700
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15213
Practice Address - Country:US
Practice Address - Phone:412-692-4100
Practice Address - Fax:412-692-4101
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-04
Last Update Date:2021-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD045519208800000X
PAMD474325208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology