Provider Demographics
NPI:1689472235
Name:MALDONADO, AUSTIN (PTP)
Entity type:Individual
Prefix:
First Name:AUSTIN
Middle Name:
Last Name:MALDONADO
Suffix:
Gender:
Credentials:PTP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2684 5TH ST
Mailing Address - Street 2:
Mailing Address - City:MONROEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15146-4627
Mailing Address - Country:US
Mailing Address - Phone:412-500-1965
Mailing Address - Fax:
Practice Address - Street 1:330 MALL BLVD
Practice Address - Street 2:
Practice Address - City:MONROEVILLE
Practice Address - State:PA
Practice Address - Zip Code:15146-2241
Practice Address - Country:US
Practice Address - Phone:412-500-1965
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-07
Last Update Date:2025-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist