MEDICARE: UPMC ST MARGARET

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	207R00000X	Internal Medicine Physician
2	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1639184567
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UPMC ST MARGARET

Provider Business Mailing Address
First Line	:	3937 BUTLER ST
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15201-3222
Country	:	US
Telephone Number	:	412-622-7343
Fax Number	:	412-621-8235

Provider Business Practice Location Address
First Line	:	3937 BUTLER ST
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15201-3222
Country	:	US
Telephone Number	:	412-622-7343
Fax Number	:	412-621-8235

Authorized Official
Title or Position	:	VP FINACE/CFO
Name	:	CYNTHIA M DORUNDO
Credential	:
Telephone Number	:	412-784-4235

Provider Enumeration Date	:	07/29/2006
Last Update Date	:	10/08/2007

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Directions to “UPMC ST MARGARET ” Practice Location

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