Provider Demographics
NPI:1902929359
Name:D'ERAMO, LINDA (DO)
Entity Type:Individual
Prefix:DR
First Name:LINDA
Middle Name:
Last Name:D'ERAMO
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:203 NOTTINGHAM DR
Mailing Address - Street 2:
Mailing Address - City:CORAOPOLIS
Mailing Address - State:PA
Mailing Address - Zip Code:15108-3234
Mailing Address - Country:US
Mailing Address - Phone:412-400-8874
Mailing Address - Fax:412-264-5082
Practice Address - Street 1:928 BRODHEAD RD
Practice Address - Street 2:UNIT B, FIRST FLOOR
Practice Address - City:MOON TOWNSHIP
Practice Address - State:PA
Practice Address - Zip Code:15108-2375
Practice Address - Country:US
Practice Address - Phone:412-400-8874
Practice Address - Fax:412-264-5082
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-09
Last Update Date:2014-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS014611207Q00000X
OH58-002055208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice