| Bonacorsi, Brown And Johnson Primary Care | |
|
2550 Mosside Blvd Ste 308 Monroeville PA 15146-3532 | |
| (412) 457-1101 | |
| (412) 457-0252 |
| Full Name | Bonacorsi, Brown And Johnson Primary Care |
|---|---|
| Speciality | Family Medicine |
| Location | 2550 Mosside Blvd Ste 308, Monroeville, Pennsylvania |
| Authorized Official Name and Position | Denise Noel (DIRECTOR PROVIDER ENROLLMENT) |
| Authorized Official Contact | 4123305861 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bonacorsi, Brown And Johnson Primary Care 4 Allegheny Ctr Fl 7 Pittsburgh PA 15212-5255 Ph: (412) 330-5861 | Bonacorsi, Brown And Johnson Primary Care 2550 Mosside Blvd Ste 308 Monroeville PA 15146-3532 Ph: (412) 457-1101 |
| NPI Number | 1417382128 |
|---|---|
| Provider Enumeration Date | 09/12/2013 |
| Last Update Date | 11/06/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417382128 | NPI | - | NPPES |
| 100731714 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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