Provider Demographics
NPI:1902954605
Name:TOMETSKO, MICHAEL J (PAC)
Entity Type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:J
Last Name:TOMETSKO
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Gender:M
Credentials:PAC
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Mailing Address - Street 1:665 RODI RD STE 103
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15235-4566
Mailing Address - Country:US
Mailing Address - Phone:412-466-3111
Mailing Address - Fax:412-469-5579
Practice Address - Street 1:1 ALPHA DR
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15238-2943
Practice Address - Country:US
Practice Address - Phone:412-466-3111
Practice Address - Fax:412-469-5579
Is Sole Proprietor?:No
Enumeration Date:2007-01-08
Last Update Date:2024-05-15
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Provider Licenses
StateLicense IDTaxonomies
PAMA052250363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical