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NPI Code Detail

MEDICARE: ALLEGHENY CLINIC

MEDICARE: ALLEGHENY CLINIC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician

General Provider Information

NPI Number : 1063834315
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALLEGHENY CLINIC
Provider Business Mailing Address
First Line : 4 ALLEGHENY CTR FL 7
Second Line :
City : PITTSBURGH
State : PA
Zip : 15212-5255
Country : US
Telephone Number : 412-330-5861
Fax Number : 412-330-5844
Provider Business Practice Location Address
First Line : 62 GREENBRIAR DR
Second Line : SUITE 1
City : LEECHBURG
State : PA
Zip : 15656-8209
Country : US
Telephone Number : 724-845-7765
Fax Number : 724-845-8418
Authorized Official
Title or Position : DIRECTOR PROVIDER ENROLLMENT
Name : DENISE NOEL
Credential :
Telephone Number : 412-330-5861
Provider Enumeration Date : 01/06/2014
Last Update Date : 11/06/2020

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Directions to “ALLEGHENY CLINIC ” Practice Location

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