MEDICARE: UPMC COMMUNITY MEDICINE, INC

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
1	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1467041582
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UPMC COMMUNITY MEDICINE, INC

Provider Business Mailing Address
First Line	:	2 HOT METAL STREET
Second Line	:	QUANTUM ONE BLDG
City	:	PITTSBURGH
State	:	PA
Zip	:	15203
Country	:	US
Telephone Number	:	412-432-5864
Fax Number	:

Provider Business Practice Location Address
First Line	:	1600 CORAOPOLIS HEIGHTS RD STE G
Second Line	:
City	:	CORAOPOLIS
State	:	PA
Zip	:	15108-4307
Country	:	US
Telephone Number	:	412-269-4114
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	PATRICIA DEVLIN
Credential	:
Telephone Number	:	412-432-7469

Provider Enumeration Date	:	01/13/2021
Last Update Date	:	01/13/2021

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