Provider Demographics
NPI:1053366542
Name:PICA, JAMES E (MD)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:E
Last Name:PICA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:916 GREEN ST
Mailing Address - Street 2:
Mailing Address - City:GREENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15601-4135
Mailing Address - Country:US
Mailing Address - Phone:724-832-1800
Mailing Address - Fax:724-832-1742
Practice Address - Street 1:916 GREEN ST
Practice Address - Street 2:
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-4135
Practice Address - Country:US
Practice Address - Phone:724-832-1800
Practice Address - Fax:724-832-1742
Is Sole Proprietor?:No
Enumeration Date:2006-05-23
Last Update Date:2010-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD029913E207NS0135X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207NS0135XAllopathic & Osteopathic PhysiciansDermatologyProcedural Dermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAC31422Medicare UPIN