Basic Information
Provider Information
NPI: 1427393719
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HOLTZ
FirstName: MARGARET
MiddleName: J
NamePrefix:  
NameSuffix:  
Credential: PA-C
OtherOrganizationName:  
OtherOrganizationType:  
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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: 532 S AIKEN AVE
Address2: SUITE 400
City: PITTSBURGH
State: PA
PostalCode: 152321521
CountryCode: US
TelephoneNumber: 4126236910
FaxNumber: 4126236911
Other Information
ProviderEnumerationDate: 11/28/2012
LastUpdateDate: 11/28/2012
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
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IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
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AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363A00000XMA055857PAY Physician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant 

No ID Information.


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