Provider Demographics
NPI:1992772123
Name:WEISMAN KASDAN & TALBOTT PC
Entity type:Organization
Organization Name:WEISMAN KASDAN & TALBOTT PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:A
Authorized Official - Last Name:WEISMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:412-466-3113
Mailing Address - Street 1:575 COAL VALLEY RD
Mailing Address - Street 2:SUITE 104
Mailing Address - City:CLAIRTON
Mailing Address - State:PA
Mailing Address - Zip Code:15025-3730
Mailing Address - Country:US
Mailing Address - Phone:412-466-3113
Mailing Address - Fax:412-469-7199
Practice Address - Street 1:575 COAL VALLEY RD
Practice Address - Street 2:SUITE 104
Practice Address - City:CLAIRTON
Practice Address - State:PA
Practice Address - Zip Code:15025-3730
Practice Address - Country:US
Practice Address - Phone:412-466-3113
Practice Address - Fax:412-469-7199
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-07
Last Update Date:2008-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA72529OtherUNISON
PA219931OtherHEALTH AMERICA/ASSURANCE
PA1006510OtherGATEWAY
PA178174OtherHIGHMARK BLUE SHIELD
PACF4486Medicare PIN
PA178174OtherHIGHMARK BLUE SHIELD