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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
1207X00000XOrthopaedic Surgery PhysicianPA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1073500583
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALLEGHENY CLINIC
Provider Business Mailing Address
First Line : 100 MEDICAL BLVD
Second Line :
City : CANONSBURG
State : PA
Zip : 15317-9762
Country : US
Telephone Number : 724-873-5955
Fax Number : 724-873-5907
Provider Business Practice Location Address
First Line : 100 MEDICAL BLVD
Second Line :
City : CANONSBURG
State : PA
Zip : 15317-9762
Country : US
Telephone Number : 724-873-5955
Fax Number : 724-873-5907
Authorized Official
Title or Position : ENROLLMENT ANALYST
Name : CECILI JONES
Credential :
Telephone Number : 412-330-4813
Provider Enumeration Date : 09/29/2005
Last Update Date : 04/08/2014

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Directions to “ALLEGHENY CLINIC ” Practice Location

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