Healthcare Provider Details

I. General information

NPI: 1407820160
Provider Name (Legal Business Name): ALLEGHENY MEDICAL PRACTICE NETWORK
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/16/2006
Last Update Date: 10/16/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

446 LINCOLN AVE
PITTSBURGH PA
15202-3631
US

IV. Provider business mailing address

446 LINCOLN AVE
PITTSBURGH PA
15202-3631
US

V. Phone/Fax

Practice location:
  • Phone: 412-761-1190
  • Fax: 412-761-0525
Mailing address:
  • Phone: 412-761-1190
  • Fax: 412-761-0525

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: CINDY WALTEMIRE
Title or Position: MANAGED CARE SPECIALIST
Credential:
Phone: 412-330-5523