Organization
ALLEGHENY CLINIC
Active
Other names
Green Tree Medical Associates
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY WALTEMIRE (PROVIDER ENROLLMENT SPECIALIST)
(412) 330-5864
Entity
Organization
Contact information
Practice address
651 HOLIDAY DR, PITTSBURGH, PA 15220-2740
(412) 922-8490
(412) 921-1194
Mailing address
4 ALLEGHENY CTR FL 7, PITTSBURGH, PA 15212-5255
(412) 330-5861
(412) 330-5844
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
208000000X
Pediatrics Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100731714
—
PA
Enumeration date
09/23/2013
Last updated
11/06/2020
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