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Organization
ALLEGHENY CLINIC
Active
Organization
ALLEGHENY CLINIC
Active
Other names
Allegheny Pediatric ENT Associates
Organization subpart
No
Provider details
NPI number
Authorized official
CANDICE GENTILE (PROVIDER CREDENTIALING SPECIALIST)
(412) 330-5853
Entity
Organization
Contact information
Practice address
320 E NORTH AVE, PITTSBURGH, PA 15212-4756
(412) 359-3445
(412) 359-8786
Mailing address
320 E NORTH AVE, PITTSBURGH, PA 15212-4756
(412) 359-3445
(412) 359-8786
Taxonomy
Speciality
Code
Description
License number
State
207YP0228X
Pediatric Otolaryngology Physician
Primary
—
NULL
207YP0228X
Pediatric Otolaryngology Physician
Primary
—
—
Other
Enumeration date
09/30/2005
Last updated
04/20/2017
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