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NPI Code Detail

MEDICARE: JEFFERSON REGIONAL MEDICAL CENTER

MEDICARE: JEFFERSON REGIONAL MEDICAL CENTER
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
12084P0800XPsychiatry Physician
2273R00000XPsychiatric Hospital UnitPA

General Provider Information

NPI Number : 1720056138
Entity Type Code : Organization
Provider Name (Legal Business Name) : JEFFERSON REGIONAL MEDICAL CENTER
Provider Business Mailing Address
First Line : 810 CLAIRTON BLVD STE 500600
Second Line :
City : PITTSBURGH
State : PA
Zip : 15236-5505
Country : US
Telephone Number : 412-650-1100
Fax Number : 412-650-1101
Provider Business Practice Location Address
First Line : 810 CLAIRTON BLVD STE 500600
Second Line :
City : PITTSBURGH
State : PA
Zip : 15236-5505
Country : US
Telephone Number : 412-650-1100
Fax Number : 412-650-1101
Authorized Official
Title or Position : VP FINANCE AHN
Name : RICHARD WADE FRIES
Credential :
Telephone Number : 412-330-2472
Provider Enumeration Date : 03/10/2006
Last Update Date : 05/11/2023

Similar Medicare Providers

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1891763249 — JEFFERSON REGIONAL MEDICAL CENTER
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1396803177 — JAMIE FRASSENEI CORNALI FNP-C
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15236-5505
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Practice Fax:
1376601815 — AILEEN P OANDASAN MD
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PITTSBURGH, PA
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1194884593 — DR. EVAN S KOGAN PH.D.
Practice Location Address:
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Practice Fax: 412-650-1101

Directions to “JEFFERSON REGIONAL MEDICAL CENTER ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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