# UPMC BRADDOCK

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407910342
- **Authorized official:** MRS. SUSAN MAMMARELLA CFO (CFO)
- **Authorized official phone:** (412) 636-5314

## Contact information

- **Practice address:** 200 LOTHROP ST, QUANTUM \#1 3RD FL, PITTSBURGH, PA 15213-2536
- **Practice address phone:** (412) 432-5500
- **Mailing address:** 400 HOLLAND AVE, BRADDOCK, PA 15104-1599
- **Mailing address phone:** (412) 432-5500

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/21/2006
- **Last updated:** 12/31/2007
