MEDICARE: ALLEGHNEY GENERAL HOSPITAL

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	281P00000X	Chronic Disease Hospital	MT204389	PA

General Provider Information

NPI Number	:	1598102378
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALLEGHNEY GENERAL HOSPITAL

Provider Business Mailing Address
First Line	:	1524 BEAR RUN DR
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15237-1498
Country	:	US
Telephone Number	:	619-992-1688
Fax Number	:

Provider Business Practice Location Address
First Line	:	1524 BEAR RUN DR
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15237-1498
Country	:	US
Telephone Number	:	619-992-1688
Fax Number	:

Authorized Official
Title or Position	:	RESIDENT
Name	:	MOUHIB NADDOUR
Credential	:	M.D
Telephone Number	:	619-992-1688

Provider Enumeration Date	:	06/03/2013
Last Update Date	:	06/03/2013

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