Organization
UPMC ST.MARGARET
Active
Other names
Classic Care Gerontology
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK EHALT (DIRECTOR, REVENUE CYCLE)
(412) 647-0943
Entity
Organization
Contact information
Practice address
815 FREEPORT RD, 100 MED ARTS BLDG SUITE 105, PITTSBURGH, PA 15215-3301
(412) 647-0943
(412) 647-4050
Mailing address
815 FREEPORT RD, 100 MED ARTS BLDG SUITE 105, PITTSBURGH, PA 15215-3301
(412) 647-0943
(412) 647-4050
Taxonomy
Speciality
Code
Description
License number
State
103TA0700X
Adult Development & Aging Psychologist
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HIGHMARK BC/BS
1443485
PA
01
—
HIGHMARK PSYCH
1661252
PA
01
—
HIGHMARK PSYCH MANAG
272784
PA
Enumeration date
05/11/2006
Last updated
10/26/2007
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