# RENAISSANCE FAMILY PRACTICE-UPMC,INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588810444
- **Authorized official:** MARK EHALT (DIRECTOR)
- **Authorized official phone:** (412) 647-0943

## Contact information

- **Practice address:** 200 DELAFIELD RD, SUITE 2030, PITTSBURGH, PA 15215-3205
- **Practice address phone:** (412) 782-2101
- **Mailing address:** 200 DELAFIELD RD, SUITE 2030, PITTSBURGH, PA 15215-3205
- **Mailing address phone:** (412) 782-2101

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/12/2008
- **Last updated:** 08/12/2008