Provider Demographics
NPI:1861614935
Name:SMITH, EDWARD E (MS, MBA)
Entity type:Individual
Prefix:MR
First Name:EDWARD
Middle Name:E
Last Name:SMITH
Suffix:
Gender:M
Credentials:MS, MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 HALKET ST
Mailing Address - Street 2:SUITE 1651
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15213-3108
Mailing Address - Country:US
Mailing Address - Phone:412-641-1579
Mailing Address - Fax:412-641-1032
Practice Address - Street 1:300 HALKET ST
Practice Address - Street 2:SUITE 1651
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15213-3108
Practice Address - Country:US
Practice Address - Phone:412-641-1579
Practice Address - Fax:412-641-1032
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-02
Last Update Date:2008-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS