Basic Information
Provider Information
NPI: 1235343989
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: GEISLER WANG
FirstName: DAWN
MiddleName: JENNIFER
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: GEISLER
OtherFirstName: DAWN
OtherMiddleName: JENNIFER
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential: M.D.
OtherLastNameType: 1
Mailing Information
Address1: 2 HOT METAL ST
Address2: QUANTUM ONE, SUITE 001
City: PITTSBURGH
State: PA
PostalCode: 152032348
CountryCode: US
TelephoneNumber: 4126473087
FaxNumber: 4124325640
Practice Location
Address1: 9365 MCKNIGHT RD
Address2: UPP-PLASTIC SURGERY SUITE 200
City: PITTSBURGH
State: PA
PostalCode: 152375956
CountryCode: US
TelephoneNumber: 4123678998
FaxNumber: 4123673864
Other Information
ProviderEnumerationDate: 05/10/2007
LastUpdateDate: 01/04/2017
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2086S0122X036121008ILN Allopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery
2086S0122XMD443720PAY Allopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery

No ID Information.


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