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Organization
RENAISSANCE FAMILY PRACTICE-UPMC,INC
Active
Organization
RENAISSANCE 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
200 DELAFIELD RD, SUITE 2030, PITTSBURGH, PA 15215-3205
(412) 782-2101
Mailing address
200 DELAFIELD RD, SUITE 2030, PITTSBURGH, PA 15215-3205
(412) 782-2101
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
08/12/2008
Last updated
08/12/2008
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