Provider Demographics
NPI:1467651661
Name:TALARICO, ASHLEY VICTORIA (MD)
Entity type:Individual
Prefix:DR
First Name:ASHLEY
Middle Name:VICTORIA
Last Name:TALARICO
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Gender:F
Credentials:MD
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Mailing Address - Street 1:651 HOLIDAY DR
Mailing Address - Street 2:FIVE FOSTER PLAZA
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15220-2740
Mailing Address - Country:US
Mailing Address - Phone:412-922-8490
Mailing Address - Fax:412-921-1194
Practice Address - Street 1:651 HOLIDAY DR
Practice Address - Street 2:FIVE FOSTER PLAZA
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15220-2740
Practice Address - Country:US
Practice Address - Phone:412-922-8490
Practice Address - Fax:412-921-1194
Is Sole Proprietor?:No
Enumeration Date:2007-07-17
Last Update Date:2015-07-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMD452989207Q00000X
TXN6698207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX2159469-02OtherMEDICAID CSHCN
TX2159469-01Medicaid
TX2159469-01Medicaid