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Organization
ADVANCED KIDNEY CARE MEDICAL ASSOCIATES, P.C.
Active
Organization
ADVANCED KIDNEY CARE MEDICAL ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELO D LUPARIELLO MD (PRESIDENT)
(412) 683-7560
Entity
Organization
Contact information
Practice address
372 N CRAIG ST STE 101, PITTSBURGH, PA 15213-1245
(412) 683-7560
(412) 683-6992
Mailing address
372 N CRAIG ST STE 101, PITTSBURGH, PA 15213-1245
(412) 683-7560
(412) 683-6992
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011554570012
—
PA
05
—
3810006120
—
WV
01
—
CC9412
MEDICARE RAIL ROAD
PA
Enumeration date
12/19/2005
Last updated
07/07/2021
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