| Barry Tenenouser | |
|
21 Yost Blvd Forest Hills Plaza, Suite 217 Pittsburgh PA 15221-5283 | |
| (412) 823-0717 | |
| Not Available |
| Full Name | Barry Tenenouser |
|---|---|
| Speciality | Family Medicine |
| Location | 21 Yost Blvd, Pittsburgh, Pennsylvania |
| Authorized Official Name and Position | Barry Tenenouser (PRESIDENT) |
| Authorized Official Contact | 4128230717 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Barry Tenenouser 146 N Bellefield Ave Apt 801 Pittsburgh PA 15213-2618 Ph: (412) 823-0717 | Barry Tenenouser 21 Yost Blvd Forest Hills Plaza, Suite 217 Pittsburgh PA 15221-5283 Ph: (412) 823-0717 |
| NPI Number | 1154504413 |
|---|---|
| Provider Enumeration Date | 12/10/2007 |
| Last Update Date | 11/13/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154504413 | NPI | - | NPPES |
| 1679166 | Other | PA | HIGHMARK BC/BS |
| 0006813330009 | Medicaid | PA | |
| 1542750 | Other | PA | GATEWAY HEALTH PLAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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