Most Relevant Information
Provider Data
| NPI Number: | 1003304387 |
| Provider Name: | JACOB RICHARD WHITE M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 208000000X |
| Specialty: | Pediatrics |
| License Number: | MD472537 |
Most Important Dates
| Enumeration Date: | 04/23/2018 |
| Last Updated: | 09/18/2023 |
Provider Practice Location
88 FORT COUCH RD STE 100
PITTSBURGH
PA
152411042
Practice Location Phone/Fax
| Phone: | 4128311114 |
| Fax: |
Provider Mailing Location
CCP SOUTH HILLS, BETHEL PARK OFFICE
88 FORT COUCH ROAD
PITTSBURGH
PA
15241
Provider Mailing Phone/Fax
| Phone: | 4128311114 |
| Fax: |
Suggested EMR
Pediatrics EMR