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Organization
UPMC COMMUNITY MEDICINE INC
Active
Organization
UPMC COMMUNITY MEDICINE INC
Active
Other names
UPMC Keystone Primary Care-Dr.Carter
Organization subpart
No
Provider details
NPI number
Authorized official
MARK EHALT (DIRECTOR)
(412) 647-0943
Entity
Organization
Contact information
Practice address
4318 NORTHERN PIKE, SUITE 103, MONROEVILLE, PA 15146-2809
(412) 856-0770
Mailing address
4318 NORTHERN PIKE, SUITE 103, MONROEVILLE, PA 15146-2809
(412) 856-0770
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
042490
HIGHMARK MEDICARE GROUP
PA
Enumeration date
02/27/2007
Last updated
09/05/2007
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