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NPI Code Detail

MEDICARE: ADVANCED NEPHROLOGY ASSOCIATES, P.C.

MEDICARE: ADVANCED NEPHROLOGY ASSOCIATES, P.C.
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
1207RN0300XNephrology PhysicianPA

Other Identifiers

General Provider Information

NPI Number : 1396747507
Entity Type Code : Organization
Provider Name (Legal Business Name) : ADVANCED NEPHROLOGY ASSOCIATES, P.C.
Provider Business Mailing Address
First Line : 6500 BROOKTREE RD STE 100
Second Line :
City : WEXFORD
State : PA
Zip : 15090-9272
Country : US
Telephone Number : 412-766-3232
Fax Number : 412-766-4320
Provider Business Practice Location Address
First Line : 6500 BROOKTREE RD STE 100
Second Line :
City : WEXFORD
State : PA
Zip : 15090-9272
Country : US
Telephone Number : 412-766-3232
Fax Number : 412-766-4320
Authorized Official
Title or Position : PHYSICIAN
Name : GABRIEL T WEINBERG
Credential : DO
Telephone Number : 412-766-3232
Provider Enumeration Date : 06/01/2005
Last Update Date : 05/03/2024

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Directions to “ADVANCED NEPHROLOGY ASSOCIATES, P.C. ” Practice Location

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