Basic Information
Provider Information
NPI: 1700317807
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: EL MAGBRI
FirstName: EUSSRA
MiddleName:  
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Mailing Information
Address1: 3600 FORBES AVE
Address2: FORBES TOWER-PLAZA SUITE 140
City: PITTSBURGH
State: PA
PostalCode: 152133410
CountryCode: US
TelephoneNumber: 4126476340
FaxNumber:  
Practice Location
Address1: 3600 FORBES AVE
Address2: FORBES TOWER-PLAZA SUITE 140
City: PITTSBURGH
State: PA
PostalCode: 152133410
CountryCode: US
TelephoneNumber: 4126476340
FaxNumber:  
Other Information
ProviderEnumerationDate: 03/21/2017
LastUpdateDate: 07/22/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
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IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
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AuthorizedOfficialCredential:  
NPICertificationDate: 07/22/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207P00000X0101268363VAN Allopathic & Osteopathic PhysiciansEmergency Medicine 
207P00000XMD047921DCN Allopathic & Osteopathic PhysiciansEmergency Medicine 
207P00000XMD468343PAY Allopathic & Osteopathic PhysiciansEmergency Medicine 

No ID Information.


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