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Organization
ALLEGHENY CLINIC
Active
Organization
ALLEGHENY CLINIC
Active
Other names
Bonacorsi, Brown And Johnson Primary Care
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE NOEL (DIRECTOR PROVIDER ENROLLMENT)
(412) 330-5861
Entity
Organization
Contact information
Practice address
2550 MOSSIDE BLVD STE 308, MONROEVILLE, PA 15146-3532
(412) 457-1101
(412) 457-0252
Mailing address
4 ALLEGHENY CTR FL 7, PITTSBURGH, PA 15212-5255
(412) 330-5861
(412) 330-5844
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
05
—
100731714
—
PA
Enumeration date
09/12/2013
Last updated
11/06/2020
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