Basic Information
Provider Information
NPI: 1679808406
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: QUIROGA-GARZA
FirstName: GABRIELA
MiddleName: M
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2 HOT METAL ST
Address2: QUANTUM ONE
City: PITTSBURGH
State: PA
PostalCode: 152032348
CountryCode: US
TelephoneNumber: 1243258624
FaxNumber: 4126474486
Practice Location
Address1: 200 LOTHROP ST RM A608
Address2:  
City: PITTSBURGH
State: PA
PostalCode: 152132536
CountryCode: US
TelephoneNumber: 4124325862
FaxNumber: 4126474486
Other Information
ProviderEnumerationDate: 10/13/2009
LastUpdateDate: 04/07/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 04/07/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207ZP0102XMD448107PAY193400000X SINGLE SPECIALTY GROUPAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology

No ID Information.


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