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Organization
RENAISSNANCE FAMILY PRACTICE-UPMC,INC
Active
Organization
RENAISSNANCE FAMILY PRACTICE-UPMC,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK EHALT (DIRECTOR)
(412) 647-0943
Entity
Organization
Contact information
Practice address
5548 WILLIAM FLYNN HWY, GIBSONIA, PA 15044-9315
(724) 444-6330
Mailing address
5548 WILLIAM FLYNN HWY, GIBSONIA, PA 15044-9315
(724) 444-6330
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
Other
Enumeration date
08/12/2008
Last updated
08/12/2008
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