Basic Information
Provider Information
NPI: 1326364217
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: URBAN
FirstName: AMY
MiddleName: M
NamePrefix:  
NameSuffix:  
Credential: DO
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
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Mailing Information
Address1: 200 LOTHROP ST
Address2: FORBES TOWER, SUITE 9055
City: PITTSBURGH
State: PA
PostalCode: 152132536
CountryCode: US
TelephoneNumber: 4126473087
FaxNumber: 4126474486
Practice Location
Address1: 300 HALKET ST
Address2: SUITE 4407
City: PITTSBURGH
State: PA
PostalCode: 152133108
CountryCode: US
TelephoneNumber: 4126414111
FaxNumber: 4126415313
Other Information
ProviderEnumerationDate: 04/16/2010
LastUpdateDate: 07/17/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
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AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208000000XOS015078PAN Allopathic & Osteopathic PhysiciansPediatrics 
2080N0001XOS015078PAY Allopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine

No ID Information.


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