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Organization
PA CONNECTING COMMUNITIES
Active
Organization
PA CONNECTING COMMUNITIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PEGGY MANNELLA (EXECUTIVE DIRECTOR)
(412) 680-4141
Entity
Organization
Contact information
Practice address
564 WASHINGTON AVE, CARNEGIE, PA 15106-2848
(412) 621-6151
(412) 722-0762
Mailing address
564 WASHINGTON AVE, CARNEGIE, PA 15106-2848
(412) 621-6151
(412) 722-0762
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2C0878
PA MEDICARE
PA
Enumeration date
08/26/2016
Last updated
08/04/2023
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