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501/515 Pen Ave Pittsburgh PA 15222 | |
| (888) 830-0425 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 501/515 Pen Ave, Pittsburgh, Pennsylvania |
| Authorized Official Name and Position | Jon Leizman (PRESIDENT) |
| Authorized Official Contact | 2164799063 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
120 5th Ave Pittsburgh PA 15222-3000 Ph: (888) 830-0425 | 501/515 Pen Ave Pittsburgh PA 15222 Ph: (888) 830-0425 |
| NPI Number | 1821221748 |
|---|---|
| Provider Enumeration Date | 08/26/2009 |
| Last Update Date | 08/15/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821221748 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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