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Organization
UPMC PRESBYTERIAN SHADYSIDE
Active
Organization
UPMC PRESBYTERIAN SHADYSIDE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID BOBRZYNSKI CFO (CFO)
(412) 246-6809
Entity
Organization
Contact information
Practice address
3811 OHARA ST, PITTSBURGH, PA 15213-2593
(412) 432-5500
Mailing address
PO BOX 382007, PITTSBURGH, PA 15250-8007
(412) 432-5500
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1239
HIGHMARK PROVIDER NUMBER
PA
Enumeration date
04/04/2007
Last updated
06/08/2020
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