| Fort Pitt Physicians, Llc | |
|
455 E Bruceton Rd Pittsburgh PA 15236-4538 | |
| (412) 848-4403 | |
| Not Available |
| Full Name | Fort Pitt Physicians, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 455 E Bruceton Rd, Pittsburgh, Pennsylvania |
| Authorized Official Name and Position | Sean W Leehan (PRESIDENT) |
| Authorized Official Contact | 4128484403 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fort Pitt Physicians, Llc 1017 Augusta Way Pittsburgh PA 15236-2072 Ph: (412) 848-4403 | Fort Pitt Physicians, Llc 455 E Bruceton Rd Pittsburgh PA 15236-4538 Ph: (412) 848-4403 |
| NPI Number | 1013664630 |
|---|---|
| Provider Enumeration Date | 03/03/2022 |
| Last Update Date | 03/03/2022 |
| Medicare PECOS PAC ID | 5597131011 |
|---|---|
| Medicare Enrollment ID | O20221024002698 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013664630 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Sean William Leehan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700886819 PECOS PAC ID: 8022910298 Enrollment ID: I20070611000271 |
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