| Brookline Medical Assoc Pc | |
|
519 Brookline Boulevard Pittsburgh PA 15226 | |
| (412) 341-2793 | |
| (412) 341-1622 |
| Full Name | Brookline Medical Assoc Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 519 Brookline Boulevard, Pittsburgh, Pennsylvania |
| Authorized Official Name and Position | Thaddeus Andrew Grey (PRESIDENT) |
| Authorized Official Contact | 4123412743 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brookline Medical Assoc Pc 519 Brookline Boulevard Pittsburgh PA 15226 Ph: (412) 341-2793 | Brookline Medical Assoc Pc 519 Brookline Boulevard Pittsburgh PA 15226 Ph: (412) 341-2793 |
| NPI Number | 1356561948 |
|---|---|
| Provider Enumeration Date | 04/26/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356561948 | NPI | - | NPPES |
| 11971700 | Other | WORK COMP DEPT OF LABOR | |
| CF7041 | Other | RAILROAD MC | |
| CF7041 | Other | PALMETTO GBA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 039737 L (Pennsylvania) | Primary |
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