Individual provider · NPI-1

Mary P Acquaviva, PA

Physician Assistant, Medical · Pittsburgh, PA

NPI number1801802608

StatusActive

Last updated in NPPESJul 8, 2007

Details

NPI: 1801802608
Entity type: Individual (NPI-1)
Name: Mary P Acquaviva
Credential: PA
Sex: Female
Sole proprietor: No
Enumeration date: Aug 1, 2006
Last updated: Jul 8, 2007

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
363AM0700X	Physician Assistant, Medical	MA000303L	PA	Yes

Practice location

University Dr.
Va Pittsburgh Healthcare System
Pittsburgh, PA 15240-1001

Phone 412-688-6000 · Fax 412-688-6916

Mailing address

University Dr.
Va Pittsburgh Healthcare System
Pittsburgh, PA 15240-1001

Phone 412-688-6000 · Fax 412-688-6916

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