Organization
UPMC COMMUNITY MEDICINE INC
Active
Parent organization
MEDVANTX, INC
Other names
Russellton Medical Group - UPMC - Harmar
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDVANTX, INC
Authorized official
KENNY HEINE (VP OF OPERATIONS)
(858) 625-2990
Entity
Organization
Contact information
Practice address
2585 FREEPORT RD, SUITE 201, PITTSBURGH, PA 15238-1425
(412) 826-8840
Mailing address
5626 OBERLIN DR, SUITE 110, SAN DIEGO, CA 92121-1705
(858) 625-2990
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
MD053042L
PA
Other
Enumeration date
02/13/2007
Last updated
04/19/2013
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