Healthcare Provider Details

I. General information

NPI: 1861623357
Provider Name (Legal Business Name): ALLEGHENY CLINIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/31/2009
Last Update Date: 10/14/2020
Certification Date: 10/14/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9335 MCKNIGHT RD STE 240
PITTSBURGH PA
15237-5928
US

IV. Provider business mailing address

9335 MCKNIGHT RD STE 240
PITTSBURGH PA
15237-5928
US

V. Phone/Fax

Practice location:
  • Phone: 412-578-5588
  • Fax: 412-605-6544
Mailing address:
  • Phone: 412-578-5588
  • Fax: 412-605-6544

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VE0102X
TaxonomyReproductive Endocrinology Physician
License Number
License Number State

VIII. Authorized Official

Name: DENISE NOEL
Title or Position: DIRECTOR PROVIDER ENROLLMENT
Credential:
Phone: 412-330-5861