# ALLEGHENY MEDICAL PRACTICE NETWORK

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- **Entity:** Organization
- **Status:** Active
- **Other names:** East Suburban Family Practice
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871758995
- **Authorized official:** CINDY WALTEMIRE (MANAGED CARE SPECIALIST)
- **Authorized official phone:** (412) 330-5523

## Contact information

- **Practice address:** 2566 HAYMAKER RD, SUITE 306, MONROEVILLE, PA 15146-3517
- **Practice address phone:** (412) 858-4553
- **Practice address fax:** (412) 858-4558
- **Mailing address:** 2566 HAYMAKER RD, SUITE 306, MONROEVILLE, PA 15146-3517
- **Mailing address phone:** (412) 858-4553
- **Mailing address fax:** (412) 858-4558

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/29/2008
- **Last updated:** 05/14/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0017600750028 | — | PA |