Provider Demographics
NPI:1598847741
Name:HURWITZ, DENNIS JAY (MD)
Entity type:Individual
Prefix:DR
First Name:DENNIS
Middle Name:JAY
Last Name:HURWITZ
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 1:3109 FORBES AVE
Mailing Address - Street 2:SUITE 500
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15213-3010
Mailing Address - Country:US
Mailing Address - Phone:412-802-6100
Mailing Address - Fax:412-802-7700
Practice Address - Street 1:3109 FORBES AVE
Practice Address - Street 2:SUITE 500
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15213-3010
Practice Address - Country:US
Practice Address - Phone:412-802-6100
Practice Address - Fax:412-802-7700
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD017467E174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAB34470Medicare UPIN
53375Medicare ID - Type Unspecified