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Organization
UPMC
Active
Organization
UPMC
Active
Parent organization
COMMUNITY MEDICINE INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMMUNITY MEDICINE INC.
Authorized official
TY LELLOCK (PRACTICE MANAGER)
(412) 623-6910
Entity
Organization
Contact information
Practice address
532 S AIKEN AVE, SUITE 400, PITTSBURGH, PA 15232-1521
(412) 623-6910
(412) 623-6911
Mailing address
532 S AIKEN AVE, SUITE 400, PITTSBURGH, PA 15232-1521
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
MA057919
PA
Other
Enumeration date
10/29/2015
Last updated
10/29/2015
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