Provider Demographics
NPI:1447812607
Name:GESKIN MEDICAL LLC
Entity type:Organization
Organization Name:GESKIN MEDICAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:RYCKMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-289-6652
Mailing Address - Street 1:1633 ROUTE 51 STE 105
Mailing Address - Street 2:
Mailing Address - City:JEFFERSON HILLS
Mailing Address - State:PA
Mailing Address - Zip Code:15025-3652
Mailing Address - Country:US
Mailing Address - Phone:412-775-2019
Mailing Address - Fax:412-775-2243
Practice Address - Street 1:1633 ROUTE 51 STE 105
Practice Address - Street 2:
Practice Address - City:JEFFERSON HILLS
Practice Address - State:PA
Practice Address - Zip Code:15025-3652
Practice Address - Country:US
Practice Address - Phone:412-775-2019
Practice Address - Fax:412-775-2243
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-08
Last Update Date:2021-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty