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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
1207R00000XInternal Medicine 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

General Provider Information

NPI Number : 1275969826
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 : 224 LONGFELLOW ST
Second Line : SUITE 200
City : VANDERGRIFT
State : PA
Zip : 15690-1476
Country : US
Telephone Number : 724-568-5551
Fax Number : 724-568-3137
Authorized Official
Title or Position : DIRECTOR PROVIDER ENROLLMENT
Name : DENISE NOEL
Credential :
Telephone Number : 412-330-5861
Provider Enumeration Date : 09/15/2013
Last Update Date : 11/06/2020

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Directions to “ALLEGHENY CLINIC ” Practice Location

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