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Organization

JEFFERSON HILLS SURGICAL ASSOCIATES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
REGINA GALLAGHER (OFFICE MANAGER)
(412) 469-7110
Entity
Organization

Contact information

Practice address
1200 BROOKS LN, SUITE 150, JEFFERSON HILLS, PA 15025-3747
(412) 469-7110
(412) 469-8938
Mailing address
1200 BROOKS LN, SUITE 150, JEFFERSON HILLS, PA 15025-3747
(412) 469-7110
(412) 469-8938

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0017401990002
PA
01
020041924
UNITED HEALTHCARE
PA
01
076046
HIGHMARK PROVIDER NUMBER
PA
01
102792
UPMC FOR LIFE
PA
01
1538038
UMWA
PA
01
2110489
AETNA
PA
01
2119
UPMC FOR YOU
PA
01
7728259
CIGNA
PA
01
876903
FIRST HEALTH
PA
01
89940
UNISON
PA
01
CI6850
PALMETTO GBA RR MEDICARE
PA
Enumeration date
05/19/2006
Last updated
05/08/2008
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