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NPI Code Detail

MEDICARE: PRIMARY CARE GROUP 3 INC

MEDICARE: PRIMARY CARE GROUP 3 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
1207R00000XInternal Medicine PhysicianMD039877LPA
2207R00000XInternal Medicine Physician

General Provider Information

NPI Number : 1528292281
Entity Type Code : Organization
Provider Name (Legal Business Name) : PRIMARY CARE GROUP 3 INC
Provider Business Mailing Address
First Line : 5426 MIFFLIN RD
Second Line :
City : PITTSBURGH
State : PA
Zip : 15207-2350
Country : US
Telephone Number : 724-462-1800
Fax Number : 412-462-5501
Provider Business Practice Location Address
First Line : 5426 MIFFLIN RD
Second Line :
City : PITTSBURGH
State : PA
Zip : 15207-2350
Country : US
Telephone Number : 724-462-1800
Fax Number : 412-462-5501
Authorized Official
Title or Position : DIRECTOR PROVIDER ENROLLMENT
Name : DENISE NOEL
Credential :
Telephone Number : 412-330-5861
Provider Enumeration Date : 05/11/2009
Last Update Date : 09/30/2020

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Directions to “PRIMARY CARE GROUP 3 INC ” Practice Location

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