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Organization
RENAISANCE FAMILY PRACTICE, INC
Active
Organization
RENAISANCE FAMILY PRACTICE, INC
Active
Other names
RFP/Glenshaw Gibsonia Division
Organization subpart
No
Provider details
NPI number
Authorized official
MARIE ZANOTTI (EXECUTIVE DIRECTOR)
(724) 274-9451
Entity
Organization
Contact information
Practice address
619 MOUNT ROYAL BLVD, PITTSBURGH, PA 15223-1225
(412) 487-4422
(412) 487-6930
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
—
068624
HIGHMARK DIVISION
PA
Enumeration date
07/11/2006
Last updated
08/22/2020
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