1396369765 NPI number — MARIUSZ LIGOCKI M.D.

Table of content: MARIUSZ LIGOCKI M.D. (NPI 1396369765)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1396369765 NPI number — MARIUSZ LIGOCKI M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
LIGOCKI
Provider First Name:
MARIUSZ
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1396369765
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/04/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
01/18/2022
NPI Reactivation Date:
05/02/2022

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
705 SOUTH AIKEN AVENUE APT. 3
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PITTSBURGH
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
15232
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
516-343-0005
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
DEPARTMENT OF ANESTHESIOLOGY AND PERIOPERATIVE MEDICINC
Provider Second Line Business Practice Location Address:
SUITE 402 3471 FIFTH AVENUE KAUFMAN MEDICAL BUILDING
Provider Business Practice Location Address City Name:
PITTSBURGH
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15213
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-692-4503
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/02/2020

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 390200000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)