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Organization

MLG PODIATRY INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PAM BORNSCHEUER (BILLING MGR)
(412) 381-4830
Entity
Organization

Contact information

Practice address
730 BROWNSVILLE RD, PITTSBURGH, PA 15210-2300
(412) 381-4830
Mailing address
730 BROWNSVILLE RD, PITTSBURGH, PA 15210-2300
(412) 381-4830

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0011427080004
PA
01
546370
BLUE CROSS/BLUE SHIELD
PA
Enumeration date
06/23/2006
Last updated
08/05/2008
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