Organization
BARRY TENENOUSER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARRY TENENOUSER MD (PRESIDENT)
(412) 823-0717
Entity
Organization
Contact information
Practice address
21 YOST BLVD, FOREST HILLS PLAZA, SUITE 217, PITTSBURGH, PA 15221-5283
(412) 823-0717
Mailing address
146 N BELLEFIELD AVE, APT 801, PITTSBURGH, PA 15213-2618
(412) 823-0717
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006813330009
—
PA
01
—
1542750
GATEWAY HEALTH PLAN
PA
01
—
1679166
HIGHMARK BC/BS
PA
Enumeration date
12/10/2007
Last updated
11/13/2012
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