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117 Vip Dr Suite 120 Wexford PA 15090-6932 | |
(724) 935-5330 | |
(724) 935-5098 |
Full Name | |
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Speciality | Family Medicine |
Location | 117 Vip Dr, Wexford, Pennsylvania |
Authorized Official Name and Position | Mark A Kissinger (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 4123699550 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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8150 Perry Hwy Suite 300 Pittsburgh PA 15237-5232 Ph: (412) 369-9550 | 117 Vip Dr Suite 120 Wexford PA 15090-6932 Ph: (724) 935-5330 |
NPI Number | 1184778177 |
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Provider Enumeration Date | 01/23/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1184778177 | NPI | - | NPPES |
878059 | Other | HIGHMARK BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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