Daniel Bolorunduro Fagbuyi, MD | |
One St Francis Way, Cranberry Township, PA 16066 | |
(412) 692-7692 | |
(412) 692-7464 |
Full Name | Daniel Bolorunduro Fagbuyi |
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Gender | Male |
Speciality | Pediatrics - Pediatric Emergency Medicine |
Location | One St Francis Way, Cranberry Township, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053354696 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080P0204X | Pediatrics - Pediatric Emergency Medicine | MD428894 (Pennsylvania) | Primary |
Entity Name | Childrens Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912939703 PECOS PAC ID: 0244143170 Enrollment ID: O20031107000130 |
Entity Name | Mep Health Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164483558 PECOS PAC ID: 5193610319 Enrollment ID: O20040217000863 |
Mailing Address | Practice Location Address |
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Daniel Bolorunduro Fagbuyi, MD 200 Lothrop Street, Forbes Tower Suite 9055, Pittsburgh, PA 15213 Ph: (412) 692-7692 | Daniel Bolorunduro Fagbuyi, MD One St Francis Way, Cranberry Township, PA 16066 Ph: (412) 692-7692 |
Sydney Kapp, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3104 Unionville Rd Ste 120, Suite 120, Cranberry Township, PA 16066 Phone: 724-776-4433 | |
Brian Czervionke, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 100 Century Blvd Ste 5, Cranberry Township, PA 16066 Phone: 724-776-4433 Fax: 724-776-4475 |