Organization
ALLERGY & CLINICAL IMMUNOLOGY ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LISA M WHITE (PRACTICE ADMINISTRATOR)
(412) 833-6768
Entity
Organization
Contact information
Practice address
180 FORT COUCH RD, SUITE 375, PITTSBURGH, PA 15241-1041
(412) 833-8811
(412) 833-7011
Mailing address
180 FORT COUCH RD, SUITE 375, PITTSBURGH, PA 15241-1041
(412) 833-8811
(412) 833-7011
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
MD009759E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
185254
HIGHMARK/BLUES PROVIDER #
PA
Enumeration date
05/19/2006
Last updated
08/22/2020
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