Healthcare Provider Details

I. General information

NPI: 1700888534
Provider Name (Legal Business Name): ALLEGHENY CLINIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/11/2005
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 OXFORD DR SUITE 113
BETHEL PARK PA
15102-1827
US

IV. Provider business mailing address

2000 OXFORD DR SUITE 113
BETHEL PARK PA
15102-1827
US

V. Phone/Fax

Practice location:
  • Phone: 412-831-1929
  • Fax: 412-831-2285
Mailing address:
  • Phone: 412-831-1929
  • Fax: 412-831-2285

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number
License Number StatePA

VIII. Authorized Official

Name: APRIL MCDADE
Title or Position: MANAGED CARE SPECIALIST
Credential:
Phone: 412-330-5220