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Contact Information

JOHN M PRENDERGAST, MD
1350 LOCUST ST
STE G102 BUILDING C
PITTSBURGH, PA15219-4738
 Phone: 412-232-8494
 Fax: 412-232-8727
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
 

Legal Medicine

173000000X
Indicates primary specialty

NPI Profile & details for JOHN M PRENDERGAST · (Male)

NPI # 1437119757
Status Active
Credentials MD
Entity Individual
Enumeration date 03/23/2006
Last updated 09/13/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • PA License # MD038722E
  • PA Medicaid 001099400
Hospital affiliation(s)
  • BUTLER MEMORIAL HOSPITAL - (Acute Care)
    ONE HOSPITAL WAY
    BUTLER, PA 16001
  • ST CLAIR MEMORIAL HOSPITAL - (Acute Care)
    1000 BOWER HILL ROAD
    PITTSBURGH, PA 15243
  • UPMC MERCY - (Acute Care)
    1400 LOCUST STREET
    PITTSBURGH, PA 15219
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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