Provider Demographics
NPI:1306077227
Name:MIGUEL A. MARRERO, MD, PC
Entity type:Organization
Organization Name:MIGUEL A. MARRERO, MD, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MIGUEL
Authorized Official - Middle Name:A
Authorized Official - Last Name:MARRERO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:412-494-7560
Mailing Address - Street 1:4955 STEUBENVILLE PIKE
Mailing Address - Street 2:STE 364
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15205-9619
Mailing Address - Country:US
Mailing Address - Phone:412-494-7560
Mailing Address - Fax:412-494-7564
Practice Address - Street 1:4955 STEUBENVILLE PIKE
Practice Address - Street 2:STE 364
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15205-9619
Practice Address - Country:US
Practice Address - Phone:412-494-7560
Practice Address - Fax:412-494-7564
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-28
Last Update Date:2009-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD046545L207VE0102X, 207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Single Specialty
No207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive EndocrinologyGroup - Single Specialty