Healthcare Provider Details
I. General information
NPI: 1942516000
Provider Name (Legal Business Name): ALLEGHENY CLINIC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/27/2010
Last Update Date: 11/06/2020
Certification Date: 11/06/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
147 TOWNE SQUARE WAY
PITTSBURGH PA
15227-3254
US
IV. Provider business mailing address
147 TOWNE SQUARE WAY
PITTSBURGH PA
15227-3254
US
V. Phone/Fax
- Phone: 412-942-1085
- Fax: 412-942-0855
- Phone: 412-942-1085
- Fax: 412-942-0855
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207V00000X |
| Taxonomy | Obstetrics & Gynecology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
APRIL
MCDADE
Title or Position: ENROLLMENT COORDINATOR
Credential:
Phone: 412-330-5220