MEDICARE: ALLEGHENY CLINIC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1033622485
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALLEGHENY CLINIC

Provider Business Mailing Address
First Line	:	6149 SALTSBURG RD STE 202
Second Line	:
City	:	VERONA
State	:	PA
Zip	:	15147-3542
Country	:	US
Telephone Number	:	412-241-7511
Fax Number	:	412-712-1136

Provider Business Practice Location Address
First Line	:	6149 SALTSBURG RD STE 202
Second Line	:
City	:	VERONA
State	:	PA
Zip	:	15147-3542
Country	:	US
Telephone Number	:	412-241-7511
Fax Number	:	412-712-1136

Authorized Official
Title or Position	:	PROVIDER ENROLLMENT SPECIALIST
Name	:	CINDY WALTEMIRE
Credential	:
Telephone Number	:	412-330-5864

Provider Enumeration Date	:	11/08/2017
Last Update Date	:	12/07/2017

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Directions to “ALLEGHENY CLINIC ” Practice Location

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