Healthcare Provider Details

I. General information

NPI: 1710005566
Provider Name (Legal Business Name): ALLEGHENY MEDICAL P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/27/2007
Last Update Date: 04/01/2026
Certification Date: 04/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 CLIFFMINE RD PARK WEST II SUITE 110
PITTSBURGH PA
15275-1008
US

IV. Provider business mailing address

2000 CLIFFMINE RD PARK WEST II SUITE 110
PITTSBURGH PA
15275-1008
US

V. Phone/Fax

Practice location:
  • Phone: 412-494-4550
  • Fax: 412-494-4551
Mailing address:
  • Phone: 412-494-4550
  • Fax: 412-494-4551

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207QS0010X
TaxonomySports Medicine (Family Medicine) Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. NEAL JOSEPH FANELLI
Title or Position: CEO
Credential: OWNER
Phone: 412-494-4550