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1811 Boulevard Of The Allies Suite 200 Pittsburgh PA 15219 | |
| (412) 566-1568 | |
| (412) 232-1926 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1811 Boulevard Of The Allies, Pittsburgh, Pennsylvania |
| Authorized Official Name and Position | Catherine Ngozi Udekwu (OWNER/PRESIDENT) |
| Authorized Official Contact | 4125661568 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1811 Boulevard Of The Allies Suite 200 Pittsburgh PA 15219 Ph: (412) 566-1568 | 1811 Boulevard Of The Allies Suite 200 Pittsburgh PA 15219 Ph: (412) 566-1568 |
| NPI Number | 1649238825 |
|---|---|
| Provider Enumeration Date | 05/04/2006 |
| Last Update Date | 01/07/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649238825 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | MD-060747-L (Pennsylvania) | Primary |
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