| Iejtwins, Inc | |
|
400 Regis Ave Pittsburgh PA 15236-1419 | |
| (412) 662-0095 | |
| Not Available |
| Full Name | Iejtwins, Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 400 Regis Ave, Pittsburgh, Pennsylvania |
| Authorized Official Name and Position | Adam Rice (PRESIDENT) |
| Authorized Official Contact | 4125595386 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Iejtwins, Inc 3526 Brownsville Rd Pittsburgh PA 15227-3116 Ph: (412) 884-5650 | Iejtwins, Inc 400 Regis Ave Pittsburgh PA 15236-1419 Ph: (412) 662-0095 |
| NPI Number | 1063130847 |
|---|---|
| Provider Enumeration Date | 08/18/2022 |
| Last Update Date | 01/31/2023 |
| Medicare PECOS PAC ID | 0840660361 |
|---|---|
| Medicare Enrollment ID | O20221228000011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063130847 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 261QI0500X | Clinic/center - Infusion Therapy | (* (Not Available)) | Secondary |
| Provider Name | Timothy M Campbell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528022902 PECOS PAC ID: 2466475959 Enrollment ID: I20101229000036 |
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