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Organization
UPMC COMMUNITY MEDICINE INC
Active
Organization
UPMC COMMUNITY MEDICINE INC
Active
Other names
UPMC Bedford Internal Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
MARK EHALT (DIRECTOR)
(412) 647-0943
Entity
Organization
Contact information
Practice address
118 S ANDERSON ST, SUITE 1, BEDFORD, PA 15522-1403
(814) 623-3474
Mailing address
118 S ANDERSON ST, SUITE 1, BEDFORD, PA 15522-1403
(814) 623-3474
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
042568
HIGHMARK MEDICARE GROUP
PA
Enumeration date
02/27/2007
Last updated
09/05/2007
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