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Organization
UNIVERSITY OF PITTSBURGH PHYSICIANS
Active
Organization
UNIVERSITY OF PITTSBURGH PHYSICIANS
Active
Other names
Gleason Medical Associates UPMC
Organization subpart
No
Provider details
NPI number
Authorized official
MARK EHALT (DIRECTOR)
(412) 647-0943
Entity
Organization
Contact information
Practice address
1789 S BRADDOCK AVE, SUITE 510, PITTSBURGH, PA 15218-1842
(412) 244-8760
Mailing address
1789 S BRADDOCK AVE, SUITE 510, PITTSBURGH, PA 15218-1842
(412) 244-8760
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
026196
HIGHMARK MEDICARE SERVICE
PA
Enumeration date
03/05/2007
Last updated
09/05/2007
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