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Organization
UPMC COMMUNITY MEDICINE INC
Active
Organization
UPMC COMMUNITY MEDICINE INC
Active
Other names
RUSSELLTON MEDICAL GROUP UPMC
Organization subpart
No
Provider details
NPI number
Authorized official
MARK EHALT (DIRECTOR)
(412) 647-0943
Entity
Organization
Contact information
Practice address
1604 BURTNER RD, SUITE 2100, NATRONA HEIGHTS, PA 15065-2845
(724) 230-3099
(724) 230-3098
Mailing address
1604 BURTNER RD, SUITE 2100, NATRONA HEIGHTS, PA 15065-2845
(724) 230-3099
(724) 230-3098
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
039158
HIGHMARK GROUP NUMBER
PA
Enumeration date
06/22/2007
Last updated
11/09/2007
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