Provider Demographics
NPI:1104267830
Name:MONACO, FENO M (MD)
Entity type:Individual
Prefix:
First Name:FENO
Middle Name:M
Last Name:MONACO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:320 EAST NORTH TOWER
Mailing Address - Street 2:S TOWER, 2ND FLOOR
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15212-4756
Mailing Address - Country:US
Mailing Address - Phone:412-359-3005
Mailing Address - Fax:412-359-3006
Practice Address - Street 1:320 EAST NORTH TOWER
Practice Address - Street 2:S TOWER, 2ND FLOOR
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15212-4756
Practice Address - Country:US
Practice Address - Phone:412-359-3005
Practice Address - Fax:412-359-3006
Is Sole Proprietor?:No
Enumeration Date:2013-07-10
Last Update Date:2024-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD463279207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
14232947OtherCAQH
PA103502107Medicaid