Organization
ALLEGHENY HEALTH NETWORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AMANDA MARIE AJINE-BASIL PA-C (PHYSICIAN ASSISTANT/SURGERY)
(586) 808-0907
Entity
Organization
Contact information
Practice address
4815 LIBERTY AVE, SUITE M56, PITTSBURGH, PA 15224-2156
(412) 578-5539
(412) 605-6320
Mailing address
4815 LIBERTY AVE, SUITE M56, PITTSBURGH, PA 15224-2156
(412) 578-5539
(412) 605-6320
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA057154
COMMONWEALTH OF PENNSYLVANIA
PA
Enumeration date
09/29/2014
Last updated
09/29/2014
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