| Primary Care Northside | |
|
490 E North Ave Suite 200/203 Pittsburgh PA 15212-4740 | |
| (412) 321-8882 | |
| (412) 321-0870 |
| Full Name | Primary Care Northside |
|---|---|
| Speciality | Internal Medicine |
| Location | 490 E North Ave, Pittsburgh, Pennsylvania |
| Authorized Official Name and Position | Cindy Waltemire (MANAGED CARE SPECIALIST) |
| Authorized Official Contact | 4123305523 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Primary Care Northside 490 E North Ave Suite 200/203 Pittsburgh PA 15212-4740 Ph: (412) 321-8882 | Primary Care Northside 490 E North Ave Suite 200/203 Pittsburgh PA 15212-4740 Ph: (412) 321-8882 |
| NPI Number | 1720053713 |
|---|---|
| Provider Enumeration Date | 02/22/2006 |
| Last Update Date | 10/16/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720053713 | NPI | - | NPPES |
| 0017600750028 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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