Organization
PITTSBURGH NORTH CARDIOLOGY ASSOC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUBY MARCOCELLI (MANAGER)
(412) 788-4995
Entity
Organization
Contact information
Practice address
660 LINCOLN AVE, SUITE 101, BELLEVUE, PA 15202-3426
(412) 761-4700
(412) 766-8152
Mailing address
660 LINCOLN AVE, SUITE 101, BELLEVUE, PA 15202-3426
(412) 761-4700
(412) 766-8152
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
PA
207RC0000X
Cardiovascular Disease Physician
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000060053
UNISON
—
05
—
00079075900008
—
PA
01
—
0015654000
INDEPENCE BLUE SHIELD
PA
01
—
1014077
GATEWAY HEALTH PLAN
PA
01
—
433869
BLUE SHIELD
PA
01
—
CC1531
RAILROAD MEDICARE
PA
Enumeration date
07/19/2007
Last updated
11/20/2012
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