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Organization
RENAISSANCE FAMILY PRACTICE, INC
Active
Organization
RENAISSANCE FAMILY PRACTICE, INC
Active
Other names
RFP/Millvale Division
Organization subpart
No
Provider details
NPI number
Authorized official
MARIE ZANOTTI (EXECUTIVE DIRECTOR)
(724) 274-9451
Entity
Organization
Contact information
Practice address
111 SHERIDAN ST, PITTSBURGH, PA 15209-2639
(412) 821-2277
(412) 821-1453
Mailing address
600 WATERCREST WAY, SUITE 630, CHESWICK, PA 15024-1370
(724) 274-9420
(724) 274-9370
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
472690
HIGHMARK DIVISION
PA
Enumeration date
07/11/2006
Last updated
08/22/2020
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