Basic Information
Provider Information
NPI: 1447607213
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ERDMANN
FirstName: ALEXANDRA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 3600 FORBES AVENUE
Address2: FORBES TOWER - PLAZA LEVEL SUITE 140
City: PITTSBURGH
State: PA
PostalCode: 15213
CountryCode: US
TelephoneNumber: 2628447217
FaxNumber:  
Practice Location
Address1: 4401 PENN AVENUE
Address2: 5TH FLOOR FACULTY PAVILLION
City: PITTSBURGH
State: PA
PostalCode: 15224
CountryCode: US
TelephoneNumber: 6082636400
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/20/2016
LastUpdateDate: 08/27/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 08/27/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208000000X69471WIN Allopathic & Osteopathic PhysiciansPediatrics 
208000000XMD476990PAY Allopathic & Osteopathic PhysiciansPediatrics 

No ID Information.


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