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Organization
GENESIS MEDICAL ASSOCIATES, INC
Active
Organization
GENESIS MEDICAL ASSOCIATES, INC
Active
Other names
Behm Family Practice
Organization subpart
No
Provider details
NPI number
Authorized official
MARK KISSINGER (EXECUTIVE DIRECTOR)
(412) 369-9550
Entity
Organization
Contact information
Practice address
2500 BROOKTREE RD, SUITE 200, WEXFORD, PA 15090-9278
(724) 940-0300
(724) 940-0301
Mailing address
8150 PERRY HWY, SUITE 300, PITTSBURGH, PA 15237-5232
(412) 369-9550
(412) 369-9566
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1418239
BLUE SHIELD
PA
Enumeration date
03/08/2007
Last updated
08/22/2020
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