# ALLEGHENY CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Bonacorsi, Brown And Johnson Primary Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417382128
- **Authorized official:** DENISE NOEL (DIRECTOR PROVIDER ENROLLMENT)
- **Authorized official phone:** (412) 330-5861

## Contact information

- **Practice address:** 2550 MOSSIDE BLVD STE 308, MONROEVILLE, PA 15146-3532
- **Practice address phone:** (412) 457-1101
- **Practice address fax:** (412) 457-0252
- **Mailing address:** 4 ALLEGHENY CTR FL 7, PITTSBURGH, PA 15212-5255
- **Mailing address phone:** (412) 330-5861
- **Mailing address fax:** (412) 330-5844

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/12/2013
- **Last updated:** 11/06/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100731714 | — | PA |