Organization · Type 2 NPI
Tall Oak Medical Services
Addiction Medicine (Family Medicine) Physician · Gibsonia, PA
NPI number
1053282590
Active
Practice location
203 Silver Ridge Ln
Gibsonia, PA 15044-8097
Fax (724) 502-4971
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction Medicine (Family Medicine) Physician Primary | 207QA0401X | None listed |
Addiction Medicine (Family Medicine) Physician: A family medicine physician who specializes in the diagnosis and treatment of addictions.
About NPI 1053282590
Tall Oak Medical Services's National Provider Identifier is 1053282590, issued on Sep 17, 2025. The primary taxonomy on file is Addiction Medicine (Family Medicine) Physician (207QA0401X), and the practice location is in Gibsonia, PA. The record was last updated on Sep 17, 2025.